Active NPI
Nichole K Fogleman, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024164251
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5051 - Phone
- (804) 628-6990
- Fax
- (804) 628-6932
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024164251 | VA | Primary |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5051
Mailing address
PO Box 91734
Richmond, VA 23291-7134
Phone (804) 358-6100
Other practice location 1
7700 E Parham Rd
Richmond, VA 23238
Phone (804) 784-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008951765 | Medicaid | VA | |
| 1306840277 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.92 of 100
- Quality
- 15.88
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 73.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| Dogwood Anesthesia Providers, LLC | Current | Accepting new patients |
Locations
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CJW Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1306840277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232917134",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985051",
"telephone_number": "804-628-6990",
"fax_number": "804-628-6932"
}
],
"practiceLocations": [
{
"address_1": "7700 E Parham Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23238",
"country_code": "US",
"telephone_number": "804-784-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGLEMAN",
"first_name": "NICHOLE",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024164251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008951765",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306840277",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.