Individual provider Active NPI

Bertha Maclin, FNP-BC

  • Family Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1306321138
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176291 Issued in VA
Practice address
125 Akers Farm Rd
Christiansburg, VA 24073-4866
Phone
(540) 381-8595
NPI assigned
Sep 27, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 0024176291 VA Primary

Addresses

Primary practice location

125 Akers Farm Rd
Christiansburg, VA 24073-4866

Mailing address

PO Box 1472
Harrisonburg, VA 22803-1472
Phone (540) 560-6029

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
I20190507002767 VA Practitioner - Nurse Practitioner 7113269408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Health of Virginia LLCGroup PAC ID 5193102788, 7 clinicians

Practice addresses (Care Compare)

2303 N Augusta St
Suite B
Staunton, VA 24401-2597
Phone (540) 779-7524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024176291VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Virginia, LLC CurrentSince Jul 14, 2022 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

125 Riverbend Dr
Charlottesvle, VA 22911
Phone (804) 466-3130

789 Piney Forest Rd
Ste 1
Danville, VA 24540
Phone (434) 208-2987

30 Town Center Dr
Dublin, VA 24084
Phone (540) 779-7516

314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647

2502 Broadway Ave SW
Roanoke, VA 24014
Phone (540) 329-5325

2303 N Augusta St
Ste B
Staunton, VA 24401
Phone (540) 779-7524

110 E High St
#B
Woodstock, VA 22664
Phone (540) 779-7491

Organizations & group practices 1

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1306321138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1472",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031472",
            "telephone_number": "540-560-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734866",
            "telephone_number": "540-381-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLIN",
        "first_name": "BERTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.