NPIMap

Individual provider Active NPI

Vera Rathje, ANP

  • Adult Health Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1376974865
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306700 Issued in NY
Practice address
105 County Route 45a
Suite 400
Oswego, NY 13126-6673
Phone
(315) 312-0089
Fax
(315) 312-0110
NPI assigned
Dec 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 F306700 NY Primary
Gerontology Nurse Practitioner 363LG0600X 5011000 NC

Addresses

Primary practice location

105 County Route 45a
Suite 400
Oswego, NY 13126-6673

Mailing address

5100 W Taft Rd Ste 2G
Liverpool, NY 13088-4841
Phone (315) 312-0089

Other practice location 1

101 Robeson St Ste 202
Fayetteville, NC 28301-5520
Phone (910) 615-1630

Other practice location 2

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140626001540 NY Practitioner - Nurse Practitioner 4385869767 Reassigns benefits to 1 organization
I20181128002147 NC Practitioner - Nurse Practitioner 4385869767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Robeson St
Suite 202
Fayetteville, NC 28301-5520
Phone (910) 615-1630

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306700NYMDAdult Health Nurse Practitioner
5011000NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Mohamed Ahmed Physicians PC CurrentSince Aug 3, 2015 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Dec 24, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Dec 24, 2025 Accepting new patients
Cumberland County Hospital Systems, Inc CurrentSince Nov 1, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 1, 2018 Accepting new patients
Loretto Health and Rehabilitation Center CurrentSince Nov 27, 2017 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

101 Robeson St
Ste 202
Fayetteville, NC 28301
Phone (910) 609-1630

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

6201 Raeford Rd
Fayetteville, NC 28304
Phone (910) 486-7777

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

941 S 1st St
Fulton, NY 13069
Phone (315) 593-7128

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

Interoperability endpoints

  • Direct secure messaging: vrathje10413@capefearvalley.direct-ci.com

Organizations & group practices 9

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1376974865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD STE 2G",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884841",
            "telephone_number": "315-312-0089",
            "fax_number": "315-312-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COUNTY ROUTE 45A",
            "address_2": "SUITE 400",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266673",
            "telephone_number": "315-312-0089",
            "fax_number": "315-312-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Robeson St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015520",
            "country_code": "US",
            "telephone_number": "910-615-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042425",
            "country_code": "US",
            "telephone_number": "910-609-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHJE",
        "first_name": "VERA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306700",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5011000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.