Active NPI
William Ronald Gaertner, M.D
- Psychiatry Physician
- Fredericksburg, VA
National Provider Identifier
1649267188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101035045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 458104000 | Other | MAGELLAN | |
| 51337 | Other | CIGNA | |
| 861112647 | Other | UBH | |
| 071985427 | Medicaid | VA | |
| 146004 | Other | ANTHEM | |
| 081522 | Other | OPTIMA | |
| 307350 | Other | ANTHEM | |
| 347 | Other | VALUE OPTIONS | |
| 4076171 | Other | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Hospital, Inc. | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Hospital Inc. | Current | Accepting new patients | |
| Harbor Point Behavioral Health Center Inc | Past | Accepting new patients | |
| MCV Associated Physicians | Psychiatry | Past | 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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Obstetrics & Gynecology Physician
- Fredericksburg, VA
- NPI 1134282197
-
- Psychiatric Residential Treatment Facility
- Portsmouth, VA
- NPI 1275564361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.