Individual provider Active NPI

Jennifer Reluya, AGPCNP

  • Adult Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1801562988
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024182380 Issued in VA
Practice address
3804 Bricken LN
Fredericksburg, VA 22408-0277
Phone
(540) 419-3843
NPI assigned
Aug 19, 2021
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024182380 VA
Adult Health Nurse Practitioner 363LA2200X 0024182380 VA Primary

Addresses

Primary practice location

3804 Bricken LN
Fredericksburg, VA 22408-0277

Mailing address

3804 Bricken LN
Fredericksburg, VA 22408-0277

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
I20220225000503 VA Practitioner - Nurse Practitioner 6507250156 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Oct 20, 2024 Accepting new patients
Signify Health, LLC CurrentSince Dec 1, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 20, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 20, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Oct 20, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1801562988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 BRICKEN LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 BRICKEN LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224080277",
            "telephone_number": "540-419-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELUYA",
        "first_name": "JENNIFER",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024182380",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024182380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.