NPIMap

Individual provider Active NPI

Hishani Perera, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1699184283
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171870 Issued in VA
Practice address
611 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401-8402
Phone
(540) 371-4141
Fax
(540) 371-1990
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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 0024171870 VA Primary

Addresses

Primary practice location

611 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401-8402

Mailing address

611 Jefferson Davis Hwy
Suite 201
Fredericksburg, VA 22401-8402
Phone (540) 371-4141

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
I20141202002615 VA Practitioner - Nurse Practitioner 4183946114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

2800 Welford St
Fredericksburg, VA 22401-3176
Phone (540) 361-1830

2800 Wellford St
Suite 200
Fredericksburg, VA 22401-3176
Phone (540) 361-1833

4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Sep 8, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 8, 2020 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Embracing Health, Inc. Family CurrentSince Apr 13, 2017 Accepting new patients

Locations

121 Courthouse Ln
Bowling Green, VA 22427
Phone (804) 633-1232

10 Stafford Lakes Pkwy
Ste 106
Fredericksburg, VA 22406
Phone (540) 370-0295

10620 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 374-3150

10502 Rhoads Dr
Fredericksburg, VA 22407
Phone (540) 710-9100

4535 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 374-3160

2632 Salem Church Rd
Fredericksburg, VA 22407
Phone (540) 899-3440

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

16463 Dahlgren Rd
King George, VA 22485
Phone (540) 644-9505

8051 Prosperity Way
Ste 100
Ruther Glen, VA 22546
Phone (804) 448-0198

385 Garrisonville Rd
Ste 121
Stafford, VA 22554
Phone (540) 318-8602

Interoperability endpoints

  • Direct secure messaging: hperera36777@marywashingtonhealthcare.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1699184283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-371-4141",
            "fax_number": "540-371-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018402",
            "telephone_number": "540-371-4141",
            "fax_number": "540-371-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "HISHANI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.