Individual provider Active NPI

Marie F Gerardo, N.P.

  • Adult Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1699738468
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024164427 Issued in VA
Practice address
2104 W Laburnum Ave
Richmond, VA 23227-4357
Phone
(804) 354-8108
Fax
(804) 354-8075
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024164427 VA Primary

Addresses

Primary practice location

2104 W Laburnum Ave
Richmond, VA 23227-4357

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (840) 358-6100

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 354-8108

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040209000834 VA Practitioner - Nurse Practitioner 0345134631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jan 13, 2018 Accepting new patients
Henrico Doctors Neurology Associates LLC PastSince Oct 1, 2015 Accepting new patients
Neurological Associates, Inc. PastSince Feb 17, 1993 Accepting new patients

Locations

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

7301 Forest Ave
Ste 300
Richmond, VA 23226
Phone (804) 521-7843

7301 Forest Ave
Ste 302
Richmond, VA 23226
Phone (804) 288-2767

2104 W Laburnum Ave
Richmond, VA 23227
Phone (804) 354-8107

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1699738468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "840-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 W LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274357",
            "telephone_number": "804-354-8108",
            "fax_number": "804-354-8075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-354-8108",
            "fax_number": "804-354-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERARDO",
        "first_name": "MARIE",
        "middle_name": "F",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024164427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.