Individual provider Active NPI

Samantha Angelica Sweitzer, FNP-C

  • Family Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1467939835
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176414 Issued in VA
Practice address
541 S Sycamore St
Petersburg, VA 23803-5039
Phone
(804) 957-9601
Fax
(804) 957-5850
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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 0024176414 VA Primary

Addresses

Primary practice location

541 S Sycamore St
Petersburg, VA 23803-5039

Mailing address

805 N 24TH St Apt 1
Richmond, VA 23223-6409
Phone (571) 527-9605

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
I20190205002288 VA Practitioner - Nurse Practitioner 7214275965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

541 S Sycamore St
Petersburg, VA 23803-5039
Phone (804) 835-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Oct 20, 2018 Accepting new patients
Central Virginia Health Services Inc CurrentSince Oct 20, 2018 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients

Locations

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

541 S Sycamore St
Petersburg, VA 23803
Phone (804) 835-6100

25 S Union St
Petersburg, VA 23803
Phone (804) 957-9601

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1467939835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N 24TH ST APT 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236409",
            "telephone_number": "571-527-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035039",
            "telephone_number": "804-957-9601",
            "fax_number": "804-957-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEITZER",
        "first_name": "SAMANTHA",
        "middle_name": "ANGELICA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.