Individual provider Active NPI

William Ronald Gaertner, M.D

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1649267188
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101035045 Issued in VA
Practice address
621 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401
Phone
(540) 372-2028
Fax
(540) 372-6541
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 0101035045 VA
Geriatric Psychiatry Physician 2084P0805X 0101035045 VA
Psychiatry Physician 2084P0800X 0101035045 VA Primary

Addresses

Primary practice location

621 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401

Mailing address

621 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-4567
Phone (540) 372-2028

Other identifiers 9

IdentifierTypeStateIssuer
458104000OtherMAGELLAN
51337OtherCIGNA
861112647OtherUBH
071985427MedicaidVA
146004OtherANTHEM
081522OtherOPTIMA
307350OtherANTHEM
347OtherVALUE OPTIONS
4076171OtherAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209001024 VA Practitioner - PsychiatryPractitioner - Addiction Medicine 3971560061 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital, Inc. CurrentSince Dec 31, 2016 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 1, 2017 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 1, 2017 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Dec 31, 2016 Accepting new patients
Harbor Point Behavioral Health Center Inc Past Accepting new patients
MCV Associated Physicians Psychiatry PastSince Sep 28, 2021 Accepting new patients
Fredericksburg OBGYN Center Inc Past Accepting new patients

Locations

1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900

621 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 372-2028

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

Organizations & group practices 7

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1649267188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 EMANCIPATION HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014567",
            "telephone_number": "540-372-2028",
            "fax_number": "540-372-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-372-2028",
            "fax_number": "540-372-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTNER",
        "first_name": "WILLIAM",
        "middle_name": "RONALD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "VA",
            "license": "0101035045",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101035045",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101035045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "458104000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "51337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "861112647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071985427",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "146004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "081522",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "307350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4076171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.