Active NPI
Abundance Primary Care LLC
- Family Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ABUNDANCE PRIMARY CARE LLC
- Practice address
- 4500 Plank Rd Ste 1024B
Fredericksburg, VA 22407-0120 - Phone
- (540) 527-5113
- Fax
- (540) 767-6333
- NPI assigned
- Sep 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hermine Henry, FNP-C
- Title
- Medical Director
- Phone
- (321) 276-7402
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4500 Plank Rd Ste 1024B
Fredericksburg, VA 22407-0120
Mailing address
PO Box 41021
Fredericksburg, VA 22404-1021
Phone (540) 527-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2337853 | Abundance Primary Care LLC | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
4500 Plank Rd
Ste 1024B
Fredericksburg, VA 22407
Phone (321) 276-7402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fredericksburg, VA
- NPI 1184212235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1780558270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41021",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224041021",
"telephone_number": "540-527-5113",
"fax_number": "540-767-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PLANK RD STE 1024B",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224070120",
"telephone_number": "540-527-5113",
"fax_number": "540-767-6333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANCE PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-30",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "HERMINE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "321-276-7402",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.