Individual provider Active NPI

Arthur Michael Petrikonis, MSN, FNP-BC

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1386085413
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171009 Issued in VA
Practice address
2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone
(434) 200-5252
Fax
(434) 847-3645
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171009 VA Primary

Addresses

Primary practice location

2410 Atherholt Rd
Lynchburg, VA 24501-2148

Mailing address

2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 200-5252

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
I20130926000297 VA Practitioner - Nurse Practitioner 0042454373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 200-1800

291 McBride LN
Gretna, VA 24557-2773
Phone (434) 656-1274

900 W 3Rd St
Farmville, VA 23901-1131
Phone (434) 392-4370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Oct 1, 2013 Accepting new patients
Centra Health Inc Past Accepting new patients

Locations

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

414 Park Ave
Danville, VA 24541
Phone (434) 791-4892

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

900 W 3rd St
Farmville, VA 23901
Phone (434) 392-4370

291 McBride Ln
Gretna, VA 24557
Phone (434) 200-4030

2410 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-5252

2010 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-3656

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

1902 Grace St
Lynchburg, VA 24504
Phone (434) 200-5100

1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816

1039 Mayberry Crossing Dr
Ste C
Moneta, VA 24121
Phone (434) 200-4422

2212 Wilborn Ave
South Boston, VA 24592
Phone (434) 572-8921

Organizations & group practices 2

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 7

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1386085413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012148",
            "telephone_number": "434-200-5252",
            "fax_number": "434-847-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012148",
            "telephone_number": "434-200-5252",
            "fax_number": "434-847-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIKONIS",
        "first_name": "ARTHUR",
        "middle_name": "MICHAEL",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.