Individual provider Active NPI

Therese Podgorski, NP-C

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1821527516
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024174380 Issued in VA
Practice address
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone
(855) 863-9595
Fax
(706) 868-8375
NPI assigned
Jun 7, 2017
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024174380 VA Primary
Registered Nurse 163W00000X 0001215627 VA

Addresses

Primary practice location

7101 Jahnke Rd
Richmond, VA 23225-4017

Mailing address

PO Box 3548
Augusta, GA 30914-3548
Phone (855) 863-9595

Other practice location 1

1965 Jefferson Davis Hwy
Fredericksburg, VA 22401
Phone (540) 735-0560

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
I20171109001259 VA Practitioner - Nurse Practitioner 0547526451 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
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001215627VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jun 26, 2022 Accepting new patients

Locations

13048 Rivers Bend Rd
Chester, VA 23836
Phone (804) 530-0300

325 Charles H Dimmock Pkwy
Ste 100
Colonial Heights, VA 23834
Phone (804) 524-4077

131 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 526-4888

10528 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 891-3173

1000 E Broad St
Richmond, VA 23219

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

1300 W Broad St
Ste 113
Richmond, VA 23284
Phone (804) 828-0822

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

300 Mt Clement Park
Ste B
Tappahannock, VA 22560
Phone (804) 443-8670

332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246

Organizations & group practices 1

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 4

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1821527516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143548",
            "telephone_number": "855-863-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "855-863-9595",
            "fax_number": "706-868-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 Jefferson Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "22401",
            "country_code": "US",
            "telephone_number": "540-735-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODGORSKI",
        "first_name": "THERESE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174380",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001215627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.