Individual provider Active NPI

Donna Reese, AGNP

  • Primary Care Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1376901041
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024279486 Issued in VA
Practice address
1335 Carlton Ave
Charlottesville, VA 22902-5813
Phone
(540) 529-1300
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307621 NY
Primary Care Nurse Practitioner 363LP2300X 0024279486 VA Primary

Addresses

Primary practice location

1335 Carlton Ave
Charlottesville, VA 22902-5813

Mailing address

2340 Abington Dr
Charlottesville, VA 22911-5607
Phone (716) 504-7823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160330001203 NY Practitioner - Nurse Practitioner 2769789155 Reassigns benefits to 1 organization
I20200922002824 VA Practitioner - Nurse Practitioner 2769789155 Reassigns benefits to 1 organization
I20240812001287 DC Practitioner - Nurse Practitioner 2769789155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLC 264 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-4350

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024279486VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group CurrentSince Nov 13, 2022 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Mar 28, 2022 Accepting new patients
Wny Medical PC Adult Health CurrentSince Oct 27, 2019 Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

147 Reist St
Williamsville, NY 14221
Phone (716) 633-5400

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

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1376901041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 ABINGTON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115607",
            "telephone_number": "716-504-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CARLTON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025813",
            "telephone_number": "540-529-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "DONNA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307621",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024279486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.