Individual provider Active NPI

Rayna M Amoreno, PNP

  • Pediatric Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1730439431
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024170139 Issued in VA
Practice address
16244 Bennett Rd
Culpeper, VA 22701-4630
Phone
(540) 825-5381
NPI assigned
Sep 11, 2012
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3334066 00MedicaidMD

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
I20210721000609 VA Practitioner - Nurse Practitioner 2769632637 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024170139VAMDPediatric Nurse Practitioner
APRN89856-CPNP-PCWVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Valley Medical System, Inc. CurrentSince Jun 1, 2021 Accepting new patients
University of Virginia Physicians Group CurrentSince Sep 1, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.