Active NPI
Mark Richard Rugarber, FNP
- Family Nurse Practitioner
- Purcellville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024187734
- Practice address
- 205 E. Hirst Road, Suite 203
Purcellville, VA 20132-6602 - Phone
- (540) 751-0255
- Fax
- (540) 751-0466
- NPI assigned
- Jul 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06211748 | WV | |
| Family Nurse Practitioner | 363LF0000X | 0024187734 | VA | Primary |
Addresses
Primary practice location
205 E. Hirst Road, Suite 203
Purcellville, VA 20132-6602
Mailing address
224-D Cornwall Street, NW.
Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other practice location 1
99 Tavern Rd
Martinsburg, WV 25401-2890
Phone (304) 263-4999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326619669 | Medicaid | VA | |
| 30015421980002 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3456 Historic Sully Way
N VA Carenow Urgent Care
Chantilly, VA 20151-3046
Phone (703) 435-3838
46200 Potomac Run PLZ
Sterling, VA 20164-6622
Phone (571) 313-5087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024187734 | VA | MD | Family Nurse Practitioner |
| F06211748 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
3456 Historic Sully Way
Chantilly, VA 20151
Phone (703) 435-3838
46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba Winchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
-
dba Shenandoah Community Health Widmyer Elementary
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1326619669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET, NW.",
"address_2": "SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E. HIRST ROAD, SUITE 203",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201326602",
"telephone_number": "540-751-0255",
"fax_number": "540-751-0466"
}
],
"practiceLocations": [
{
"address_1": "99 Tavern Rd",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254012890",
"country_code": "US",
"telephone_number": "304-263-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGARBER",
"first_name": "MARK",
"middle_name": "RICHARD",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-07",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "F06211748",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024187734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326619669",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015421980002",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Purcellville, VA
- Restoration Counseling Services LLC
- Riverside Ofs PLLC (Purcellville Oral and Facial Surgery)
- RM Health Services, Inc.
- RM Health Services, Inc. (Purcellville Orthopedic Physical Therapy)
- Jessica R. Roberson, MD
- Anne M. Safko, M.D.
- Lima Sahibzada
- Christopher R Salas, D.D.S.
- Gabrielle Salazar, ATC, LAT
- Abdulhafidh Talib Salim, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.