Individual provider Active NPI

Stephanie Musick, CPNP

  • Pediatric Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1750950176
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024181638 Issued in VA
Practice address
11601 Robious Rd Ste 100
Midlothian, VA 23113-5605
Phone
(804) 379-9494
Fax
(804) 379-3702
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024181638 VA Primary

Addresses

Primary practice location

11601 Robious Rd Ste 100
Midlothian, VA 23113-5605

Mailing address

11601 Robious Rd Ste 100
Midlothian, VA 23113-5605
Phone (804) 379-9494

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
I20240729000274 VA Practitioner - Nurse Practitioner 1951847755 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dominion Health System, Inc. Current Accepting new patients
Southern Dominion Health System, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Southern Dominion Health System, Inc. Current Accepting new patients
Southern Dominion Health System, Inc. Past Accepting new patients
Capitol Pediatrics PastSince Jun 27, 2021 Accepting new patients
Southern Dominion Health System, Inc. Past Accepting new patients

Locations

8920 Otterburn Rd
Amelia Ct Hse, VA 23002
Phone (804) 288-8838

13855 Courthouse Rd
Dinwiddie, VA 23841
Phone (804) 469-3731

510 N Main St
Emporia, VA 23847
Phone (434) 634-7723

1508 K V Rd
Victoria, VA 23974
Phone (434) 696-2165

Interoperability endpoints

  • Direct secure messaging: stephanie.musick@sdhs.directbygreenway.com

Organizations & group practices 6

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1750950176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-379-9494",
            "fax_number": "804-379-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-379-9494",
            "fax_number": "804-379-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024181638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.