Individual provider Active NPI

Gabrielle Lynn Farrar, NP

  • Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1528741212
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024188027 Issued in VA
Practice address
263 Medical Park Blvd
Petersburg, VA 23805-0002
Phone
(804) 431-1100
Fax
(804) 862-1094
NPI assigned
Aug 9, 2023
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024188027 VA Primary

Addresses

Primary practice location

263 Medical Park Blvd
Petersburg, VA 23805-0002

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 391-4171

Other practice location 1

4730 Puddledock Rd Ste 100
Prince George, VA 23875-1274
Phone (804) 452-3850

Other practice location 2

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 391-4171

Other names 1

  • Gabrielle L Fields Former name

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
I20231018004049 VA Practitioner - Nurse Practitioner 2264887744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4730 Puddledock Rd
Suite 100
Prince George, VA 23875-1274
Phone (804) 452-3850

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
58.64
Promoting interoperability
81
Improvement activities
40
Cost
66.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated CurrentSince Sep 18, 2023 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Sep 18, 2023 Accepting new patients

Locations

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

210 Medical Park Blvd
Ste 200
Petersburg, VA 23805
Phone (804) 431-1100

263 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 431-1100

4730 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 452-3850

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 2

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1528741212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MEDICAL PARK BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238050002",
            "telephone_number": "804-431-1100",
            "fax_number": "804-862-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 Puddledock Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751274",
            "country_code": "US",
            "telephone_number": "804-452-3850",
            "fax_number": "804-541-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7202 Glen Forest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263780",
            "country_code": "US",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "GABRIELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024188027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "FIELDS",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.