Individual provider Active NPI

Jamie Anderson

  • Nurse Practitioner
  • Marion, VA
National Provider Identifier
1669928719
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173838 Issued in VA
Practice address
340 Bagley Cir
Marion, VA 24354-3126
Phone
(276) 783-1200
Fax
(276) 783-1465
NPI assigned
Aug 29, 2016
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173838 VA Primary

Addresses

Primary practice location

340 Bagley Cir
Marion, VA 24354-3126

Mailing address

340 Bagley Cir
Marion, VA 24354-3126
Phone (276) 783-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161006001530 VA Practitioner - Nurse Practitioner 4688962681 Reassigns benefits to 2 organizations
I20260528003054 TN Practitioner - Nurse Practitioner 4688962681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ND Health AssociatesGroup PAC ID 5890143234, 8 clinicians

Practice addresses (Care Compare)

Abingdon, VA 24210
Phone (513) 322-5424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173838VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Virginia Mental Health Institute CurrentSince Aug 20, 2016 Accepting new patients
ND Health Associates CurrentSince Nov 1, 2025 Accepting new patients
Highlands Home Primary Care PLLC CurrentSince Dec 21, 2025 Accepting new patients
Southwestern Virginia Mental Health Institute CurrentSince Aug 20, 2016 Accepting new patients

Locations

340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1669928719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543126",
            "telephone_number": "276-783-1200",
            "fax_number": "276-783-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543126",
            "telephone_number": "276-783-1200",
            "fax_number": "276-783-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.