Active NPI
Rayna M Amoreno, PNP
- Pediatric Nurse Practitioner
- Culpeper, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024170139
- Practice address
- 16244 Bennett Rd
Culpeper, VA 22701-4630 - Phone
- (540) 825-5381
- NPI assigned
- Sep 11, 2012
- Last updated
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN89856-CPNP-PC | WV | |
| Pediatric Nurse Practitioner | 363LP0200X | AC001066 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | 0024170139 | VA | Primary |
Addresses
Primary practice location
16244 Bennett Rd
Culpeper, VA 22701-4630
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000
Other practice location 1
99 Tavern Rd
Martinsburg, WV 25401-2890
Phone (304) 263-4999 ext. 254
Other practice location 2
1200 Sunset Ln Ste 2210
Culpeper, VA 22701-3376
Phone (540) 825-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3334066 00 | Medicaid | MD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024170139 | VA | MD | Pediatric Nurse Practitioner |
| APRN89856-CPNP-PC | WV | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Medical System, Inc. | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Locations
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1200 Sunset Ln
Ste 2210
Culpeper, VA 22701
Phone (540) 825-1829
16244 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-5381
1330 Amherst St
Winchester, VA 22601
Phone (540) 662-0711
99 Tavern Rd
Martinsburg, WV 25401
Phone (304) 263-7023
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ramoreno646928@direct.healthsystem.virginia.edu
Organizations & group practices 5
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Federally Qualified Health Center (FQHC)
- Martinsburg, WV
- NPI 1083617823
VA
-
dba Winchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Shenandoah Community Health Widmyer Elementary
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1730439431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749112",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16244 BENNETT RD",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227014630",
"telephone_number": "540-825-5381"
}
],
"practiceLocations": [
{
"address_1": "99 Tavern Rd",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254012890",
"country_code": "US",
"telephone_number": "304-263-4999 x254",
"fax_number": "304-267-6418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Sunset Ln Ste 2210",
"address_purpose": "LOCATION",
"city": "Culpeper",
"state": "VA",
"postal_code": "227013376",
"country_code": "US",
"telephone_number": "540-825-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMORENO",
"first_name": "RAYNA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WV",
"license": "APRN89856-CPNP-PC",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "AC001066",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024170139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3334066 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culpeper, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.