Individual provider Active NPI

Timothy Hartzler, AGACNP-BC

  • Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1417400458
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173738 Issued in VA
Practice address
201 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone
(804) 285-8206
Fax
(804) 320-3102
NPI assigned
Jul 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0001215542 VA
Nurse Practitioner 363L00000X 0024173738 VA Primary

Addresses

Primary practice location

201 Wadsworth Dr
North Chesterfield, VA 23236-4510

Mailing address

2369 Staples Mill Rd Ste 200
Richmond, VA 23230-2918
Phone (804) 285-8206

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
I20180509000122 VA Practitioner - Nurse Practitioner 8527322072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173738VAMDNurse Practitioner
0001215542VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Oct 18, 2024 Accepting new patients
Affinity Palliative of Virginia LLC CurrentSince Nov 13, 2023 Accepting new patients
Affinity Care of Virginia LLC CurrentSince Nov 13, 2023 Accepting new patients
Gastrointestinal Specialists LLC Nurse Practitioner CurrentSince Feb 28, 2018 Accepting new patients

Locations

321 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 446-2654

10528 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 891-3173

714 Thimble Shoals Blvd
Ste C
Newport News, VA 23606
Phone (757) 330-8050

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

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 3

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1417400458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-8206",
            "fax_number": "804-497-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364510",
            "telephone_number": "804-285-8206",
            "fax_number": "804-320-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZLER",
        "first_name": "TIMOTHY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0001215542",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.