Individual provider Active NPI

Elizabeth Gotsios

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1619577160
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180008 Issued in VA
Practice address
1201 Sam Perry Blvd Ste 280
Fredericksburg, VA 22401-8400
Phone
(540) 741-5501
Fax
(540) 741-9756
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024180008 VA
Family Nurse Practitioner 363LF0000X 0024180008 VA Primary

Addresses

Primary practice location

1201 Sam Perry Blvd Ste 280
Fredericksburg, VA 22401-8400

Mailing address

1201 Sam Perry Blvd Ste 280
Fredericksburg, VA 22401-8400
Phone (540) 741-5501

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
I20210408001787 VA Practitioner - Nurse Practitioner 8729496815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital Inc. CurrentSince May 9, 2023 Accepting new patients
Mary Washington Hospital, Inc. CurrentSince May 9, 2023 Accepting new patients
Mary Washington Healthcare Physicians Current Accepting new patients

Locations

9530 Cosner Dr
Ste 200
Fredericksburg, VA 22408
Phone (540) 373-1331

1201 Sam Perry Blvd
Ste 280
Fredericksburg, VA 22401
Phone (540) 361-2922

2300 Fall Hill Ave
Ste 317
Fredericksburg, VA 22401
Phone (540) 741-1041

1201 Sam Perry Blvd
Ste 220
Fredericksburg, VA 22401
Phone (540) 361-2922

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

125 Hospital Center Blvd
Ste 221
Stafford, VA 22554
Phone (540) 741-5501

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1619577160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD STE 280",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018400",
            "telephone_number": "540-741-5501",
            "fax_number": "540-741-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD STE 280",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018400",
            "telephone_number": "540-741-5501",
            "fax_number": "540-741-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSIOS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.