Laura Wilkerson Shifflett, NP
Individual provider Active NPI Nurse Practitioner · Elkton, VA
NPI 1346720604 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1346720604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024176423 (VA)
- Practice address
- 13737 Spotswood TRL
Elkton, VA 22827-3200 - Phone
- (540) 713-4100
- Fax
- (757) 578-8587
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RMH Medical Group LLC
Practice addresses (Care Compare)
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1000
Hospital & facility affiliations
- First Choice Home Health Services, LLC
- Sentara Home Care Services
- Amedisys Home Health Care
- Sentara RMH Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181227002058 | VA | Practitioner - Nurse Practitioner | 0648515312 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Medical Group LLC | Current |
Accepting new patients | |
| RMH Medical Group LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Rockingham Memorial Hospital | Past | Accepting new patients |
Locations
13737 Spotswood Trl
Elkton, VA 22827
Phone (540) 298-1200
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
Interoperability endpoints
- lshifflett460900@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024176423 | VA | Yes |
Addresses
Primary practice location
13737 Spotswood TRL
Elkton, VA 22827-3200
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 713-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | VA |
Other providers in Elkton, VA
- Lee William Robertson
- Rockingham Memorial Hospital
- Tara T Seay
- Alannah Seidler
- Sentara RMH Medical Center
- Matthew Shifflett
- Patrick B Smith
- Speech and Language Center PLLC
- Arthur F. Strunk
- Anna Maria Sullivan
All providers in Elkton, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.