Mary Eller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024181712 Issued in VA

Practice address

4207 Germanna Hwy Ste E
Locust Grove, VA 22508-2040

Phone

(540) 726-5659

NPI assigned

Jun 28, 2021

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Centercare Family Practice, LLC

  dba Pedsplus Primary Care

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1497106504
  Medicare reassignment NPD
• Pedsplus Urgent Care, LLC

  dba Centercare Urgent Care

  • Urgent Care Clinic/Center
  • Fredericksburg, VA
  • NPI 1275087553
  Medicare reassignment NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1609446269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 REAL ESTATE AVE STE 206",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GERMANNA HWY STE E",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082040",
            "telephone_number": "540-726-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Dean, PMHNP-BC
• Hollie Nixons Deane
• Diagenetics of Fredericksburg
• Abbigail Eckert
• Bethanne Hill Elbert, MD
• Empower Behavioral Services, LLC
• Brittany Field, LPN
• Olivia Franke
• Nora Frimpong
• Benjamin C Garrison II, PA

• Family Nurse Practitioner in Locust Grove, VA
• Providers in Locust Grove, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.