NPIMap

Organization Active NPI

Integrative Regional Medical Center, P.C.

  • Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1386187540
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173092 Issued in VA
Legal business name
INTEGRATIVE REGIONAL MEDICAL CENTER, P.C.
Practice address
8266 Atlee Rd Ste 224
Mechanicsville, VA 23116-1813
Phone
(804) 454-7240
Fax
(540) 658-2846
NPI assigned
Nov 21, 2016
Last updated
Sep 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Stephen Erle, D.C.NPI 1407911316
Title
Owner
Phone
(540) 373-1303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173092 VA Primary

Addresses

Primary practice location

8266 Atlee Rd Ste 224
Mechanicsville, VA 23116-1813

Mailing address

8266 Atlee Rd Ste 224
Mechanicsville, VA 23116-1813
Phone (804) 454-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190210000003 VA Part B Supplier - Clinic/Group Practice 3577801950 Receives reassigned benefits from 12 practitioners
Practice locations: Virginia Beach, VA; Norfolk, VA; Newport News, VA; Mechanicsville, VA; Fredericksburg, VA
O20250929000659 DC Part B Supplier - Clinic/Group Practice 3577801950 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Locations

9701 Hospital Blvd
Fredericksburg, VA 22408
Phone (540) 779-0782

14300 Justice Rd
Midlothian, VA 23113
Phone (804) 454-7240

155 Kingsley Ln
Ste 300
Norfolk, VA 23505
Phone (757) 500-9024

477 Viking Dr
Ste 430
Virginia Beach, VA 23452
Phone (757) 514-1915

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1386187540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8266 ATLEE RD STE 224",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161813",
            "telephone_number": "804-454-7240",
            "fax_number": "540-658-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8266 ATLEE RD STE 224",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161813",
            "telephone_number": "804-454-7240",
            "fax_number": "540-658-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE REGIONAL MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "ERLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-373-1303",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.