Active NPI
April Marie Gustilo Hortillosa, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Petersburg, VA
National Provider Identifier
1659121903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 0001284384
- Practice address
- 6317 W Washington St.
Petersburg, VA 23803 - Phone
- (804) 524-4416
- NPI assigned
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024190182 | VA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 0001284384 | VA | Primary |
Addresses
Primary practice location
6317 W Washington St.
Petersburg, VA 23803
Mailing address
6317 W Washington St.
Petersburg, VA 23801
Phone (804) 524-4416
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 740-6174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001284384 | VA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodium Care Group Inc | Current | Accepting new patients | |
| Integrahealth LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
Organizations & group practices 2
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": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1659121903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 W WASHINGTON ST.",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23801",
"telephone_number": "804-524-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6317 W WASHINGTON ST.",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23803",
"telephone_number": "804-524-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTILLOSA",
"first_name": "APRIL MARIE",
"middle_name": "GUSTILO",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024190182",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0001284384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.