Anna Lorie Pettrey, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Bastian, VA
NPI 1831784750 · NPPES record last updated Feb 15, 2024
Key facts
- NPI
- 1831784750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024181044 (VA)
- Practice address
- 12301 Grapefield Rd
Bastian, VA 24314-4547 - Phone
- (276) 688-4331
- Fax
- (276) 688-4336
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bland County Medical Clinic Inc
Practice addresses (Care Compare)
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316
8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500
Hospital & facility affiliations
- Wythe County Community Hospital
- Princeton Community Hospital Assn Inc
- Carilion New River Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427000541 | VA | Practitioner - Nurse Practitioner | 2769890045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients | |
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients |
Locations
12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626
8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500
Interoperability endpoints
- anna.pettrey@bcmc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024181044 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024181044 | VA | Yes |
Addresses
Primary practice location
12301 Grapefield Rd
Bastian, VA 24314-4547
Mailing address
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (276) 688-4331
Other practice location 1
8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500
Other providers in Bastian, VA
- Mary A Martin
- Deana Michelle McCarty
- Tonya M. McFadden
- Phyllis Gayle Murray
- Lynn M. Patton
- RBM Opco of Bastian LLC
- Shyann Reynolds
- Samantha Dion Richardson
- Tia Elaine Sexton
- April Bruner Simms
All providers in Bastian, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.