Individual provider Active NPI

Victoria Marie McKay, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1376795898
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024166394 Issued in VA
Practice address
608 William St
Neuropsychology and Complementary Medicine
Fredericksburg, VA 22401-5749
Phone
(540) 999-6221
Fax
(866) 481-8299
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024166394 VA Primary

Addresses

Primary practice location

608 William St
Neuropsychology and Complementary Medicine
Fredericksburg, VA 22401-5749

Mailing address

603 Jefferson Davis Hwy 101
Fredericksburg, VA 22401-4436
Phone (540) 372-2058

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000268 VA Practitioner - Nurse Practitioner 6507906187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

621 Emancipation Hwy
Suite 201
Fredericksburg, VA 22401-4567
Phone (540) 372-2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024166394VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2019 Accepting new patients
Middle Peninsula Northern Neck Mental Health & Retardation CurrentSince Jun 6, 2016 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Dec 31, 2016 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2019 Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation CurrentSince Jun 6, 2016 Accepting new patients
Mary Washington Hospital, Inc. CurrentSince Dec 31, 2016 Accepting new patients
Neuropsychology & Complementary Medicine Inc. Past Accepting new patients
Neuropsychology & Complementary Medicine Inc Past Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1201 Sam Perry Blvd
Ste 240
Fredericksburg, VA 22401
Phone (540) 741-1542

621 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 372-2028

1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900

9228 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 693-5057

1041 Sharon Rd
Ste 201
King William, VA 23086
Phone (804) 769-2751

Interoperability endpoints

  • Direct secure messaging: vmckay12139@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 8

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1376795898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 JEFFERSON DAVIS HWY 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014436",
            "telephone_number": "540-372-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WILLIAM ST",
            "address_2": "NEUROPSYCHOLOGY AND COMPLEMENTARY MEDICINE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015749",
            "telephone_number": "540-999-6221",
            "fax_number": "866-481-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024166394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.