NPIMap

Individual provider Active NPI

Colleen Collins, NP

  • Family Nurse Practitioner
  • Montross, VA
National Provider Identifier
1427036623
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024146809 Issued in VA
Practice address
18849 Kings Hwy
Montross, VA 22520-2965
Phone
(804) 493-9999
Fax
(804) 493-7140
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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 0024146809 VA Primary

Addresses

Primary practice location

18849 Kings Hwy
Montross, VA 22520-2965

Mailing address

PO Box 220
25892 N James Madison Hwy
New Canton, VA 23123-0220
Phone (434) 581-3271

Other identifiers 1

IdentifierTypeStateIssuer
1427036623MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000735 VA Practitioner - Nurse Practitioner 4486748258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services Inc 94 clinicians

Practice addresses (Care Compare)

18849 Kings Hwy
Montross, VA 22520-2965
Phone (804) 493-9999

Hospital & facility affiliations

  • Riverside Home Health Home health agency, Warsaw, VA, CCN 497025
  • Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Sep 4, 2013 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 4, 2013 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients
C-Med Company Past Accepting new patients
Riverside Physician Services, Inc. Past Accepting new patients

Locations

18849 Kings Hwy
Montross, VA 22520
Phone (804) 493-1124

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

Organizations & group practices 22

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.

View all 22

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1427036623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "25892 N JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231230220",
            "telephone_number": "434-581-3271",
            "fax_number": "434-581-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18849 KINGS HWY",
            "city": "MONTROSS",
            "state": "VA",
            "postal_code": "225202965",
            "telephone_number": "804-493-9999",
            "fax_number": "804-493-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024146809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427036623",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montross, VA

Sources for this page

Verify at the official NPI Registry.