Linda Anne Modelfino, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024176729 Issued in VA

Practice address

6301 Banshire Dr
Mechanicsville, VA 23111-6572

Phone

(804) 855-9520

Fax

(804) 860-2026

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Susan Archer, Inc.Group PAC ID 2062550148, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Susan Archer, Inc

  • Clinical Social Worker
  • Glen Allen, VA
  • NPI 1265766208
  Medicare reassignment Care Compare group NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  Medicare reassignment NPD

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1679048342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BANSHIRE DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231116572",
            "telephone_number": "804-855-9520",
            "fax_number": "804-860-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BANSHIRE DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231116572",
            "telephone_number": "804-855-9520",
            "fax_number": "804-860-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODELFINO",
        "first_name": "LINDA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60155464",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Federica Mingotti, L.AC.
• Nicole Kirkwood Minor, DO
• Suraj Mishra, MD
• Nicholet Mitchell
• Darius Mobarakeh, M.D.
• Sharmalee Mohabir
• David A Mohrman, OD
• Carolyn Montgomery, PT
• Terri Lynn Montonen, RN
• Joanna Mooney

• Psychiatric/Mental Health Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.