Individual provider Active NPI

Adam Craig Stiltner, FNP-BC

  • Family Nurse Practitioner
  • Grundy, VA
National Provider Identifier
1467791244
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170658 Issued in VA
Practice address
1109 Plaza Dr
Grundy, VA 24614-6780
Phone
(276) 935-2677
Fax
(276) 935-5775
NPI assigned
Feb 13, 2013
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170658 VA Primary

Addresses

Primary practice location

1109 Plaza Dr
Grundy, VA 24614-6780

Mailing address

PO Box 1440
1109 Plaza Drive
Grundy, VA 24614-1440
Phone (276) 935-2677

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
I20130913000279 VA Practitioner - Nurse Practitioner 6608010640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Family Care Center of Buchanan County LLCGroup PAC ID 2668378696, 3 clinicians

Practice addresses (Care Compare)

1109 Plaza Dr
Grundy, VA 24614-6780
Phone (276) 935-2677

111 Fashion Rd
Suite D
Pounding Mill, VA 24637-1200
Phone (276) 596-6375

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center of Buchanan County, LLC CurrentSince May 27, 2013 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Family Care Center Past Accepting new patients

Locations

1109 Plaza Dr
Grundy, VA 24614
Phone (276) 935-2677

1109 Plaza Dr
Ste 1A
Grundy, VA 24614

111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 325-0461

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

6719 Governor Gc Peery Hwy
Ste 3650
Richlands, VA 24641
Phone (276) 596-6764

Interoperability endpoints

  • Direct secure messaging: adam.stiltner.1@19847.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1467791244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "address_2": "1109 PLAZA DRIVE",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246141440",
            "telephone_number": "276-935-2677",
            "fax_number": "276-935-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 PLAZA DR",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146780",
            "telephone_number": "276-935-2677",
            "fax_number": "276-935-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILTNER",
        "first_name": "ADAM",
        "middle_name": "CRAIG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.