Maryann Collins, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024073915 Issued in VA

Practice address

185 Redwood Ave
Suite 102
Pennington Gap, VA 24277-2599

Phone

(276) 546-5310

NPI assigned

Jan 30, 2006

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Family Care Center of Buchanan County LLCGroup PAC ID 2668378696, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Special Care Home Health Home health agency, Grundy, VA, CCN 497602
• Buchanan General Hospital Hospital, Grundy, VA, CCN 490127
• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Center of Buchanan County, LLC

  • Family Medicine Physician
  • Grundy, VA
  • NPI 1104985472
  Medicare reassignment Care Compare group NPD
• Family Care Center

  • Family Health Clinical Nurse Specialist
  • Grundy, VA
  • NPI 1629406996
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Buchanan County Hospice, Inc

  dba Special Care Hospice & Home Health, Inc

  • Home Health Agency
  • Vansant, VA
  • NPI 1356410088
  Care Compare affiliation
• Buchanan General Hospital, Inc

  • General Acute Care Hospital
  • Grundy, VA
  • NPI 1225036346
  Care Compare affiliation
• Clinch Valley Medical Center Inc.

  dba Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation
• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1376514117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 REDWOOD AVE",
            "address_2": "SUITE 102",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772599",
            "telephone_number": "276-546-5310",
            "fax_number": "276-546-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 REDWOOD AVE",
            "address_2": "SUITE 102",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772599",
            "telephone_number": "276-546-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARYANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024073915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusta L. Boggs, APRN, BC
• David Breeden
• Breanna Kelly Caudill, FNP-C
• Tanya L Clark, MSR:PT
• Chelsea Marie Cluesman
• Carolyn Sue Cope, BS QMHP
• Cornerstone Therapy Services, Inc.
• Angela Michelle Cornett, M. ED., LPC
• Eric W Creech, MSW
• Jessica Daily

• Family Nurse Practitioner in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.

Verify at the official NPI Registry.