Individual provider Active NPI

Susan J. Werner, M.D.

  • Pediatrics Physician
  • Culpeper, VA
National Provider Identifier
1336232156
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101044103 Issued in VA
Practice address
16244 Bennett Rd
Culpeper, VA 22701-4630
Phone
(540) 825-5381
Fax
(540) 829-0945
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101044103 VA Primary

Addresses

Primary practice location

16244 Bennett Rd
Culpeper, VA 22701-4630

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

633 Sunset Ln Ste F
Culpeper, VA 22701-3942
Phone (540) 825-5381

Other identifiers 1

IdentifierTypeStateIssuer
6715800MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swerner184973@direct.healthsystem.virginia.edu Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130605000000 VA Practitioner - Pediatric Medicine 9931347804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101044103VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Apr 1, 2013 Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

633 Sunset Ln
Ste F
Culpeper, VA 22701
Phone (540) 321-4281

633 Sunset Ln
Ste A
Culpeper, VA 22701
Phone (540) 321-3002

16244 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-5381

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1336232156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 BENNETT RD",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014630",
            "telephone_number": "540-825-5381",
            "fax_number": "540-829-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Sunset Ln Ste F",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013942",
            "country_code": "US",
            "telephone_number": "540-825-5381",
            "fax_number": "540-829-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101044103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6715800",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swerner184973@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16244 Bennett Rd",
            "city": "Culpeper",
            "state": "VA",
            "country_code": "US",
            "postal_code": "227014630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.