Individual provider Active NPI

Veronika Leonenko, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1306300199
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-007072 Issued in VA
Practice address
2660 New Market Rd
Richmond, VA 23231-7408
Phone
(804) 795-1144
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-007072 VA Primary

Addresses

Primary practice location

2660 New Market Rd
Richmond, VA 23231-7408

Mailing address

2660 New Market Rd
Richmond, VA 23231-7408
Phone (804) 795-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200728003128 VA Practitioner - Physician Assistant 1153746847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone (804) 932-4388

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9010 Pocahontas TRL
Providence Forge, VA 23140-3400
Phone (804) 932-4388

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-007072VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 31, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 31, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388

2660 New Market Rd
Richmond, VA 23231
Phone (804) 795-1144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: veronika.leonenko.1@8042.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1306300199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 NEW MARKET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232317408",
            "telephone_number": "804-795-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 NEW MARKET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232317408",
            "telephone_number": "804-795-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONENKO",
        "first_name": "VERONIKA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.