Individual provider Active NPI

Marie Mulford-Tester, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Vinton, VA
National Provider Identifier
1295412161
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186807 Issued in VA
Practice address
600 S Pollard St
Vinton, VA 24179-3439
Phone
(540) 776-2271
NPI assigned
Jun 30, 2023
Last updated
Jun 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186807 VA Primary

Addresses

Primary practice location

600 S Pollard St
Vinton, VA 24179-3439

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 351-6000

Other practice location 1

6541 Rolling Brook Rd Apt 105-11
Roanoke, VA 24019-1452
Phone (828) 351-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240208001870 VA Practitioner - Nurse Practitioner 6103269972 Reassigns benefits to 3 organizations
I20241108002952 DC Practitioner - Nurse Practitioner 6103269972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024186807VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD CurrentSince Sep 1, 2024 Accepting new patients
Agenacare Urgent Care CurrentSince Sep 26, 2023 Accepting new patients
Physical Medicine Associates, LTD CurrentSince Sep 1, 2024 Accepting new patients
Wound Care Specialists CurrentSince Jun 10, 2026 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

112 Sparks Dr
Forest City, NC 28043
Phone (704) 675-7279

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262

21230 Virgil H Goode Hwy
Rocky Mount, VA 24151
Phone (540) 352-4000

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1295412161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S POLLARD ST",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241793439",
            "telephone_number": "540-776-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6541 Rolling Brook Rd Apt 105-11",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240191452",
            "country_code": "US",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULFORD-TESTER",
        "first_name": "MARIE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

Verify at the official NPI Registry.