Jamie Anderson
Individual provider Active NPI Nurse Practitioner · Marion, VA
NPI 1669928719 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1669928719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024173838 (VA)
- Practice address
- 340 Bagley Cir
Marion, VA 24354-3126 - Phone
- (276) 783-1200
- Fax
- (276) 783-1465
- NPI assigned
- Aug 29, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ND Health Associates
Practice addresses (Care Compare)
Abingdon, VA 24210
Phone (513) 322-5424
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161006001530 | VA | Practitioner - Nurse Practitioner | 4688962681 | Reassigns benefits to 2 organizations |
| I20260528003054 | TN | Practitioner - Nurse Practitioner | 4688962681 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024173838 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Home Primary Care PLLC | Current |
Accepting new patients | |
| Southwestern Virginia Mental Health Institute | Current |
Accepting new patients | |
| Southwestern Virginia Mental Health Institute | Current |
Accepting new patients | |
| ND Health Associates | Current |
Accepting new patients |
Locations
340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024173838 | VA | Yes |
Addresses
Primary practice location
340 Bagley Cir
Marion, VA 24354-3126
Mailing address
340 Bagley Cir
Marion, VA 24354-3126
Phone (276) 783-1200
Other providers in Marion, VA
- Leigh Ann Adams
- Morgan Shayanne Adams
- Gertrude Konadu Afriyie
- Blessing Ali
- Maggie Anne Gilman Alley
- Appalachian Agency for Senior Citizens, Inc
- Appalachian Agency for Senior Citizens, Inc
- Appalachian Emergency Physicians
- Appalachian Laboratories Inc
- Appalachian Oral & Maxillofacial Surgery LTD
All providers in Marion, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.