Caroline Brand, NP
Individual provider Active NPI Nurse Practitioner · Charlottesville, VA
NPI 1457795841 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1457795841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0017141134 (VA)
- Practice address
- 500 Martha Jefferson Dr # G236
Charlottesville, VA 22911-4668 - Phone
- (434) 654-7580
- NPI assigned
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RMH Medical Group LLC
Martha Jefferson Medical Group LLC
Practice addresses (Care Compare)
2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7580
Hospital & facility affiliations
- Sentara RMH Medical Center
- Sentara Martha Jefferson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190208000237 | VA | Practitioner - Nurse Practitioner | 0042454233 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017141134 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Current |
Accepting new patients | |
| RMH Medical Group LLC | Current |
Accepting new patients | |
| RMH Medical Group LLC | Current |
Accepting new patients | |
| Martha Jefferson Medical Group LLC | Past |
Accepting new patients |
Locations
500 Martha Jefferson Dr
#G236
Charlottesvle, VA 22911
Phone (434) 654-7580
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
2008 Health Campus Dr
Rockingham, VA 22801
Phone (540) 564-5532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0017141134 | VA | Yes |
Addresses
Primary practice location
500 Martha Jefferson Dr # G236
Charlottesville, VA 22911-4668
Mailing address
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7794
Other practice location 1
2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000
Other names
- Caroline B Mateja
Other providers in Charlottesville, VA
- Carolyn A. Brady
- Helena Margaret Brady
- Stephanie Brady
- William J Brady
- Shelby Braginetz
- William T Brand
- Gillian Brandes
- Kathryn Brandt
- Brandyfit LLC
- Norma Branham
All providers in Charlottesville, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.