Individual provider Active NPI

Amanda Marie Stapleton, FNP-C

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1790394104
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179495 Issued in VA
Practice address
5825 Plank Rd
Fredericksburg, VA 22407-5207
Phone
(804) 410-4204
Fax
(855) 888-8443
NPI assigned
Jul 31, 2020
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179495 VA Primary
Family Medicine Physician 207Q00000X 0024179495 VA

Addresses

Primary practice location

5825 Plank Rd
Fredericksburg, VA 22407-5207

Mailing address

1101A Heatherstone Dr
Fredericksburg, VA 22407-4828
Phone (703) 447-3021

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
I20201114000013 VA Practitioner - Nurse Practitioner 4981014362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care Family Care, Inc.Group PAC ID 7618959750, 14 clinicians

Practice addresses (Care Compare)

9763 Courthouse Rd
Spotsylvania, VA 22553-1915
Phone (540) 786-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024179495VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapidan Medical Center CurrentSince Feb 10, 2023 Accepting new patients
Virginia Urgent Care LLC CurrentSince Aug 25, 2021 Accepting new patients
Primecare Family Care, Inc. Family Medicine CurrentSince Sep 17, 2023 Accepting new patients

Locations

2511 Salem Church Rd
Fredericksburg, VA 22407
Phone (340) 786-1200

4444 Germanna Hwy
Ste 310
Locust Grove, VA 22508
Phone (540) 972-6222

9763 Courthouse Rd
Spotsylvania, VA 22553
Phone (540) 786-1200

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1790394104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101A HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828",
            "telephone_number": "703-447-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075207",
            "telephone_number": "804-410-4204",
            "fax_number": "855-888-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179495",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024179495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.