Individual provider Active NPI

Robyn Feely, NP

  • Gerontology Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1326089921
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024184935 Issued in VA
Practice address
2104 W Laburnum Ave
Richmond, VA 23227-4357
Phone
(804) 354-8108
NPI assigned
Jun 8, 2006
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024184935 VA Primary

Addresses

Primary practice location

2104 W Laburnum Ave
Richmond, VA 23227-4357

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 354-8108

Other practice location 2

7229 Forest Ave.
Ste. 111, Highland II Building
Richmond, VA 23226-3765
Phone (804) 687-4793

Other identifiers 1

IdentifierTypeStateIssuer
401555000MedicaidMD

Other names 1

  • Robyn Simons Former name

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
I20230106000871 VA Practitioner - Nurse Practitioner 7012044696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

2104 W Laburnum Ave
Richmond, VA 23227-4357
Phone (804) 354-8107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024184935VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Dec 30, 2022 Accepting new patients
MCV Associated Physicians CurrentSince Aug 20, 2023 Accepting new patients
Vpa PC CurrentSince Dec 30, 2022 Accepting new patients
Alfred Stillman - Home Visit Doctors Past Accepting new patients
Virginia Commonwealth University Health System Authority PastSince Aug 20, 2023 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

2104 W Laburnum Ave
Richmond, VA 23227
Phone (804) 354-8107

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

7229 Forest Ave
Ste 111
Richmond, VA 23226
Phone (804) 687-4793

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

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.

Hospital & facility affiliations 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1326089921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 W LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274357",
            "telephone_number": "804-354-8108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-354-8108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7229 Forest Ave.",
            "address_2": "Ste. 111, Highland II Building",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263765",
            "country_code": "US",
            "telephone_number": "804-687-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEELY",
        "first_name": "ROBYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024184935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401555000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "SIMONS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.