Active NPI
Angelica Cruz Matney, CRNA
- Certified Registered Nurse Anesthetist
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024168417
- Practice address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Phone
- (703) 858-6000
- Fax
- (703) 776-2623
- NPI assigned
- Jan 15, 2009
- Last updated
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R53490 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024168417 | VA | Primary |
Addresses
Primary practice location
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (888) 280-9533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 418484000 | Medicaid | MD | |
| 1538306311 | Medicaid | VA |
Other names 1
- Miss Angelica Angelica Cruz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R53490 | CT | MD | Certified Registered Nurse Anesthetist |
| 0024168417 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Valley Health Anesthesia Services, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| Hartford Anesthesiology Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Woodland Anesthesia Associates PC | Past | Accepting new patients |
Locations
1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Winchester, VA
- NPI 1174343610
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1336195015
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1437109824
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
dba Valley Health Laboratories
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1538306311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "888-280-9533",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-6000",
"fax_number": "703-776-2623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATNEY",
"first_name": "ANGELICA",
"middle_name": "CRUZ",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "R53490",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024168417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "418484000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538306311",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELICA",
"last_name": "CRUZ",
"middle_name": "ANGELICA",
"prefix": "MISS",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.