Individual provider Active NPI

Andrea Fortson Knopp, FNP

  • Nurse Practitioner
  • Staunton, VA
National Provider Identifier
1407906373
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024167074 Issued in VA
Practice address
934 N Augusta St
Staunton, VA 24401-3215
Phone
(540) 885-6789
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024167074 VA Primary

Addresses

Primary practice location

934 N Augusta St
Staunton, VA 24401-3215

Mailing address

1220 Middlebrook Ave
Staunton, VA 24401-4545
Phone (540) 294-3238

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
I20090311000665 VA Practitioner - Nurse Practitioner 1052477312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saunders and Peavy LLCGroup PAC ID 1153710017, 9 clinicians

Practice addresses (Care Compare)

182 Neff Ave
Suite W12
Harrisonburg, VA 22801-3488

343 Neff Ave
Suite C
Harrisonburg, VA 22801-3683
Phone (540) 432-9996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024167074VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergicare Inc. CurrentSince Sep 8, 2008 Accepting new patients
Saunders & Peavy LLC CurrentSince Nov 27, 2023 Accepting new patients
Emergicare of Harrisonburg, Inc. Past Accepting new patients

Locations

182 Neff Ave
Ste W12
Harrisonburg, VA 22801
Phone (540) 432-9996

343 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 432-9996

934 N Augusta St
Staunton, VA 24401
Phone (540) 885-6789

42 Lambert St
Ste 111
Staunton, VA 24401
Phone (540) 885-6789

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1407906373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MIDDLEBROOK AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014545",
            "telephone_number": "540-294-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 N AUGUSTA ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013215",
            "telephone_number": "540-885-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPP",
        "first_name": "ANDREA",
        "middle_name": "FORTSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.