Elaine A. Clancey, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Rockingham, VA
NPI 1407401151 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1407401151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 0024177978 (VA)
- Practice address
- 2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679 - Phone
- (540) 689-7400
- Fax
- (757) 963-9617
- NPI assigned
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Virginia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RMH Medical Group LLC
Practice addresses (Care Compare)
2006 Health Campus Dr
Suite 200
Rockingham, VA 22801-8679
Phone (540) 689-5600
Hospital & facility affiliations
- Sentara RMH Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191106002867 | VA | Practitioner - Nurse Practitioner | 5496187783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177978 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Medical Group LLC | Current |
Accepting new patients | |
| RMH Medical Group LLC | Current |
Accepting new patients | |
| Rockingham Memorial Hospital | Past | Accepting new patients |
Locations
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-5800
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555
2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400
Interoperability endpoints
- eclancey230556@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024177978 | VA | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024177978 | VA | Yes |
Addresses
Primary practice location
2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Mailing address
2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Phone (540) 689-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407401151 | Medicaid | VA |
Other providers in Rockingham, VA
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- Chipley Jones Clarke
- Erin Clayton
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All providers in Rockingham, VA · Acute Care Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.