Virginia Ann O Phillips, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11021176 Issued in FL

Practice address

4251 NW American LN Ste 101
Lake City, FL 32055-8845

Phone

(386) 758-6143

NPI assigned

Aug 18, 2022

Last updated

Sep 26, 2023By 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 FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David C Terrell Jr Arnp, PAGroup PAC ID 4082022041, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• David C Terrell Jr Arnp, PA

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1669062899
  Medicare reassignment Care Compare group NPD
• Alex L Gonzales MD PA

  • Internal Medicine Physician
  • Lake City, FL
  • NPI 1841481512
  Medicare reassignment NPD
• Jean-Felert Cadet MD, PA

  • Family Medicine Physician
  • Lake City, FL
  • NPI 1386782175
  NPD (past)
• Triangle Urology Care

  • Medical Specialty Clinic/Center
  • Lake City, FL
  • NPI 1861931958
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Notami Hospitals of Florida Inc

  dba HCA Florida Lake City Hospital

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879
  Care Compare affiliation

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1659099380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SW TAYLOR GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240952",
            "telephone_number": "386-719-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 NW AMERICAN LN STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558845",
            "telephone_number": "386-758-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "VIRGINIA ANN",
        "middle_name": "O",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookelyn Denise Pettrey
• Joanna Doyle Pettus, PHARMD
• Meagan Smith Phelps, RPH
• Patrick Hunt Phemester, BA, BSN
• Paula Phetsadasack, PHARM.D.
• Kevin Philpott
• Scarlette Phommathep
• Physicians for a Community United for Research and Education LLC
• Physicians Group Services PA (Coastal Health)
• Physicians Imaging -- Lake City LLC

• Family Nurse Practitioner in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.