Individual provider Active NPI

Mary Etta Piller, CNM

  • Advanced Practice Midwife
  • Harrisonburg, VA
National Provider Identifier
1467109348
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024187004 Issued in VA
Practice address
2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone
(540) 434-3831
NPI assigned
Mar 9, 2022
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 11018686 FL
Advanced Practice Midwife 367A00000X 0024187004 VA Primary

Addresses

Primary practice location

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424

Mailing address

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 534-6335

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001702 VA Practitioner - Certified Nurse Midwife (CNM) 4183010705 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 534-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11018686FLMDAdvanced Practice Midwife
0024187004VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Mar 31, 2024 Accepting new patients
Harrisonburg Community Health Center CurrentSince Aug 6, 2024 Accepting new patients
Harrisonburg Community Health Center Inc CurrentSince Aug 6, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Mar 31, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Jun 2, 2023 Accepting new patients
Harrisonburg Community Health Center CurrentSince Aug 6, 2024 Accepting new patients
Harrisonburg Community Health Center Current Accepting new patients
Obhg Virginia, LLC CurrentSince Apr 22, 2024 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

800 Shenandoah Ave
#170
Elkton, VA 22827
Phone (540) 298-9900

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

1380 Little Sorrell Dr
Ste 100
Harrisonburg, VA 22801
Phone (540) 433-4913

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801
Phone (540) 434-3831

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: mpiller825354@direct.sentara.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1467109348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015424",
            "telephone_number": "540-534-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015424",
            "telephone_number": "540-434-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLER",
        "first_name": "MARY",
        "middle_name": "ETTA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11018686",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024187004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.