Individual provider Active NPI

Stella Ngetich

  • Family Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1386110302
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182340 Issued in VA
Practice address
25 S Union St
Petersburg, VA 23803-4221
Phone
(804) 957-9601
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 0024182340 VA Primary

Addresses

Primary practice location

25 S Union St
Petersburg, VA 23803-4221

Mailing address

25 S Union St
Petersburg, VA 23803-4221
Phone (804) 957-9601

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
I20211202001176 VA Practitioner - Nurse Practitioner 8628316809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

25 S Union St
Petersburg, VA 23803-4221
Phone (804) 957-9601

400 S Mesa Dr
Hopewell, VA 23860-4138
Phone (804) 452-5800

4260 Crossing Blvd
Suite 2
Prince George, VA 23875
Phone (804) 452-5800

Hospital & facility affiliations

  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Sep 15, 2021 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 15, 2021 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients

Locations

400 S Mesa Dr
Hopewell, VA 23860
Phone (434) 210-0755

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

321 Poplar Dr
Ste C
Petersburg, VA 23805
Phone (804) 733-5591

25 S Union St
Petersburg, VA 23803
Phone (804) 957-9601

4260 Crossings Blvd
Prince George, VA 23875
Phone (804) 452-5800

4260 Crossings Blvd
#2
Prince George, VA 23875
Phone (434) 581-5800

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 1

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1386110302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S UNION ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034221",
            "telephone_number": "804-957-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S UNION ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034221",
            "telephone_number": "804-957-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGETICH",
        "first_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.