Individual provider Active NPI

Nancy L. Brubaker, MSN, C-FNP

  • Family Nurse Practitioner
  • Mount Jackson, VA
National Provider Identifier
1831153121
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024104848 Issued in VA
Practice address
120 Medical Dr
Mount Jackson, VA 22842-9417
Phone
(540) 477-3185
Fax
(757) 579-8555
NPI assigned
Apr 13, 2006
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024104848 VA Primary

Addresses

Primary practice location

120 Medical Dr
Mount Jackson, VA 22842-9417

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 477-3185

Other identifiers 1

IdentifierTypeStateIssuer
7790848MedicaidVA

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
I20100217000855 VA Practitioner - Nurse Practitioner 9234273079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

13737 Spotswood Trl
Elkton, VA 22827
Phone (540) 298-1200

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

134 General Dr
Luray, VA 22835
Phone (540) 743-9087

120 Medical Dr
Mount Jackson, VA 22842
Phone (540) 477-3185

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: nbrubaker225490@direct.sentara.net

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 2

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1831153121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-477-3185",
            "fax_number": "757-579-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL DR",
            "city": "MOUNT JACKSON",
            "state": "VA",
            "postal_code": "228429417",
            "telephone_number": "540-477-3185",
            "fax_number": "757-579-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "NANCY",
        "middle_name": "L.",
        "credential": "MSN, C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024104848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7790848",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Jackson, VA

Sources for this page

Verify at the official NPI Registry.