Individual provider Active NPI

Christopher Carmen Deramo II, DNP, FNP

  • Family Nurse Practitioner
  • Amherst, VA
National Provider Identifier
1659975910
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180386 Issued in VA
Practice address
115 Ambriar PLZ
Amherst, VA 24521-4741
Phone
(434) 946-9565
NPI assigned
Nov 27, 2020
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180386 VA Primary

Addresses

Primary practice location

115 Ambriar PLZ
Amherst, VA 24521-4741

Mailing address

112 Briarwood St
Lynchburg, VA 24503-2002
Phone (941) 662-7871

Other practice location 1

3960 Valley Gateway Blvd Ste A1
Roanoke, VA 24012-6859
Phone (540) 904-3169

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
I20210309001192 VA Practitioner - Nurse Practitioner 6709292246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Express Family Care LLCGroup PAC ID 2668600909, 8 clinicians

Practice addresses (Care Compare)

115 Ambriar PLZ
Amherst, VA 24521-4741
Phone (434) 946-9565

3960 Valley Gateway Blvd
A1
Roanoke, VA 24012-6859
Phone (540) 904-3169

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC Single Specialty CurrentSince Mar 1, 2021 Accepting new patients
Express Family Care, LLC Single Specialty CurrentSince Oct 20, 2024 Accepting new patients

Locations

115 Ambriar Plz
Amherst, VA 24521
Phone (434) 381-6090

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

3960 Valley Gateway Blvd
#A
Roanoke, VA 24012
Phone (540) 904-3169

3960 Valley Gateway Blvd
Ste A1
Roanoke, VA 24012
Phone (540) 400-6676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1659975910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRIARWOOD ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032002",
            "telephone_number": "941-662-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AMBRIAR PLZ",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245214741",
            "telephone_number": "434-946-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Valley Gateway Blvd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240126859",
            "country_code": "US",
            "telephone_number": "540-904-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERAMO",
        "first_name": "CHRISTOPHER",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DNP, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-27",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, VA

Sources for this page

Verify at the official NPI Registry.