Individual provider Active NPI

Margaret J Constante, FNP-C

  • Family Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1457313900
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166338 Issued in VA
Practice address
44 Medical Park Blvd Ste a
Petersburg, VA 23805-9351
Phone
(804) 324-4511
Fax
(804) 835-5103
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0017138217 VA
Family Nurse Practitioner 363LF0000X 0024166338 VA Primary

Addresses

Primary practice location

44 Medical Park Blvd Ste a
Petersburg, VA 23805-9351

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other identifiers 1

IdentifierTypeStateIssuer
010114675MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Margaret.Constante@forefrontdermatology.emadirect.md

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
I20041206001207 VA Practitioner - Nurse Practitioner 9739145285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

44 Medical Park Blvd
Suite a
Petersburg, VA 23805-9351
Phone (804) 324-4511

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017138217VAMDDermatology Physician
0024166338VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 1, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 1, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

44 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 324-4511

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: margaret.constante@forefrontdermatology.emadirect.md

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1457313900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MEDICAL PARK BLVD STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059351",
            "telephone_number": "804-324-4511",
            "fax_number": "804-835-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTE",
        "first_name": "MARGARET",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0017138217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010114675",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Margaret.Constante@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "44 Medical Park Blvd Ste A",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238059351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.