Individual provider Active NPI

Mary Esancy, NP

  • Gerontology Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1649751975
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024176437 Issued in VA
Practice address
4604 Spotsylvania Pkwy Ste 310
Fredericksburg, VA 22408-7766
Phone
(540) 361-2922
Fax
(540) 361-2927
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024176437 VA Primary

Addresses

Primary practice location

4604 Spotsylvania Pkwy Ste 310
Fredericksburg, VA 22408-7766

Mailing address

4604 Spotsylvania Pkwy Ste 310
Fredericksburg, VA 22408-7766
Phone (540) 361-2922

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
I20181203002109 VA Practitioner - Nurse Practitioner 1951645993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
76.7
Promoting interoperability
100
Improvement activities
40
Cost
67.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cardiovascular Consultants PC CurrentSince Jan 15, 2024 Accepting new patients
Virginia Cardiovascular Consultants PC CurrentSince Jan 15, 2024 Accepting new patients
Spotsylvania Multi-Specialty Group, LLC PastSince Oct 16, 2019 Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

4604 Spotsylvania Pkwy
Ste 220
Fredericksburg, VA 22408
Phone (540) 361-2922

4604 Spotsylvania Pkwy
Ste 310
Fredericksburg, VA 22408
Phone (540) 361-2922

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1649751975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY STE 310",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087766",
            "telephone_number": "540-361-2922",
            "fax_number": "540-361-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY STE 310",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087766",
            "telephone_number": "540-361-2922",
            "fax_number": "540-361-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESANCY",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024176437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.