Katrina Renae Stotts, MMS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-004999 Issued in VA

Practice address

601 Old Wagner Rd BLDG D
Petersburg, VA 23805-9313

Phone

(888) 628-8272

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katrina Renae Brown Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105545

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.

• Mary Washington Healthcare Providers LLC

  • Hospitalist Physician
  • Fredericksburg, VA
  • NPI 1750826277
  Medicare reassignment
• Mountain Spring Vascular LLC

  • Vascular & Interventional Radiology Physician
  • Warrenton, VA
  • NPI 1639770621
  Medicare reassignment
• Radiologic Associates of Fredericksburg LTD

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
  • NPI 1699711093
  Medicare reassignment
• Radiologic Associates of Fredericksburg LTD

  • Radiology Clinic/Center
  • Stafford, VA
  • NPI 1336386366
  NPD

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1457735896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530101",
            "telephone_number": "888-628-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD BLDG D",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "888-628-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6512 Woodlake Village Cir",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122200",
            "country_code": "US",
            "telephone_number": "888-628-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "KATRINA",
        "middle_name": "RENAE",
        "credential": "MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-004999",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "BROWN",
            "middle_name": "RENAE",
            "credential": "MMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evan Stewart
• Terrelle N Stewart, LPC
• Tiffany Nicole Stewart, APRN
• Sticks of Lyfe LLC
• Heather A Stone, L.C.S.W.
• Stronger in-Home Services
• Carl W Stuart, CRNA
• Holly Ann Sturdevant
• Ann Wade Sublette, CRNA
• Jack Lee Suddreth, CRNA

• Medical Physician Assistant in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.