Individual provider Active NPI

Mark Richard Rugarber, FNP

  • Family Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1326619669
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187734 Issued in VA
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1326619669MedicaidVA
30015421980002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230908001841 VA Practitioner - Nurse Practitioner 3779971551 Reassigns benefits to 1 organization
I20240820001115 DC Practitioner - Nurse Practitioner 3779971551 Reassigns benefits to 1 organization

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
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

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

LicenseStateTypeSpecialty
0024187734VAMDFamily Nurse Practitioner
F06211748WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Jun 3, 2024 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.