Individual provider Active NPI

Chelsea Sue Koskovich, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1811433469
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024174389 Issued in VA
Practice address
521 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone
(540) 899-1615
Fax
(540) 372-3525
NPI assigned
Jan 6, 2017
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024174389 VA
Acute Care Nurse Practitioner 363LA2100X 0024174389 VA
Adult Health Nurse Practitioner 363LA2200X 0024174389 VA Primary

Addresses

Primary practice location

521 Park Hill Dr
Fredericksburg, VA 22401-3377

Mailing address

521 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone (540) 899-1615

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
I20170404000222 VA Practitioner - Nurse Practitioner 9335425446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of Fredericksburg IncGroup PAC ID 5799673596, 8 clinicians

Practice addresses (Care Compare)

521 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone (540) 899-1615

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Fredericksburg Inc CurrentSince Feb 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

521 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 899-1615

521 Park Hill Dr
Ste 515
Fredericksburg, VA 22401

Interoperability endpoints

  • Direct secure messaging: chelsea.snyder@paofi-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 5

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1811433469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013377",
            "telephone_number": "540-899-1615",
            "fax_number": "540-372-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013377",
            "telephone_number": "540-899-1615",
            "fax_number": "540-372-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKOVICH",
        "first_name": "CHELSEA",
        "middle_name": "SUE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174389",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174389",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024174389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.