Active NPI
Stephanie Michelle Schutter, FNP
- Family Nurse Practitioner
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024165381
- Practice address
- 4500 Pond Way
Suite 170
Woodbridge, VA 22192-5581 - Phone
- (571) 542-4950
- Fax
- (571) 285-1160
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024165381 | VA | Primary |
Addresses
Primary practice location
4500 Pond Way
Suite 170
Woodbridge, VA 22192-5581
Mailing address
9896 Sounding Shore LN
Bristow, VA 20136-2589
Phone (703) 396-7838
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 Pond Way
Suite 170
Woodbridge, VA 22192-5596
Phone (571) 542-4950
Hospital & facility affiliations
- Sentara Home Care Services
- Sentara Northern Virginia Medical Center
- Uva Health Prince William Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165381 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients | |
| Dominion Family Health, PLC | Past | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
5800 Mapledale Plz
Woodbridge, VA 22193
Phone (703) 670-0067
4500 Pond Way
Ste 170
Woodbridge, VA 22192
Phone (571) 542-4950
Interoperability endpoints
- sschutter49003@direct.sentara.net
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Family Medicine Physician
- Dale City, VA
- NPI 1952463606
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
-
- Home Health Agency
- Dumfries, VA
- NPI 1831414192
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1356445597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9896 SOUNDING SHORE LN",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201362589",
"telephone_number": "703-396-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 POND WAY",
"address_2": "SUITE 170",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925581",
"telephone_number": "571-542-4950",
"fax_number": "571-285-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTTER",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024165381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.