NPIMap

Individual provider Active NPI

Mary Vann

  • Family Nurse Practitioner
  • Quinton, VA
National Provider Identifier
1669855714
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172745 Issued in VA
Practice address
1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone
(804) 932-4388
Fax
(804) 932-1003
NPI assigned
Jul 8, 2015
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 0024172745 VA Primary

Addresses

Primary practice location

1850 Pocahontas TRL
Quinton, VA 23141-1657

Mailing address

1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone (804) 932-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825004390 VA Practitioner - Nurse Practitioner 1557677317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Richmond Heart and Vascular AssociatesGroup PAC ID 4385039718, 23 clinicians

Practice addresses (Care Compare)

1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone (804) 932-4388

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 800-6600

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9010 Pocahontas TRL
Providence Forge, VA 23140-3400
Phone (804) 932-4388

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172745VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 21, 2022 Accepting new patients
Richmond Heart and Vascular Associates CurrentSince Dec 15, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 21, 2022 Accepting new patients
Chickahominy Family Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

8243 Meadowbridge Rd
Mechanicsvlle, VA 23116
Phone (804) 730-1481

1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388

2660 New Market Rd
Richmond, VA 23231
Phone (804) 795-1144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25854/brand/4/csg/1/fhir/r4
  • Direct secure messaging: mary.vann.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1669855714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 POCAHONTAS TRL",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411657",
            "telephone_number": "804-932-4388",
            "fax_number": "804-932-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 POCAHONTAS TRL",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411657",
            "telephone_number": "804-932-4388",
            "fax_number": "804-932-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quinton, VA

Sources for this page

Verify at the official NPI Registry.