Michael Ngetich

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018039615 Issued in MO

Practice address

25 S Union St
Petersburg, VA 23803-4221

Phone

(804) 957-9601

NPI assigned

Feb 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCJABA

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.

• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment Care Compare group NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1861587511
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Charlotte Courthouse, VA
  • NPI 1891823498
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
  • NPI 1013002765
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours Mercy Health Petersburg LLC

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853
  Care Compare affiliation

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1447717665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S UNION ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034221",
            "telephone_number": "804-957-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S UNION ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034221",
            "telephone_number": "804-957-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGETICH",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-24",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018039615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "2018039615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Beginnings 2 Life LLC
• New Horizons Family Care PLLC
• New Journeys LLC
• Next Level Crisis LLC
• Eva NG, PA-C
• Stella Ngetich
• Amy Minh-Anh Nguyen
• Tu Huu Nguyen, M.D.
• Edward Peter Nikicicz, M.D.
• Lashondrea Nixon

• Family Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.