Individual provider Active NPI

Amy Elizabeth Moon Vega, CRNA

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
National Provider Identifier
1841513314
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024168665 Issued in VA
Practice address
1250 E Marshall St
Richmond, VA 23298-5051
Phone
(804) 628-6990
Fax
(804) 628-6932
NPI assigned
Mar 11, 2010
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024168665 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Richmond, VA 23298-5051

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other names 1

  • Amy E Vega Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100607000495 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052441763 Reassigns benefits to 7 organizations
I20140114000320 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052441763 Reassigns benefits to 1 organization
I20180305002117 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052441763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians

Practice addresses (Care Compare)

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 541-7413

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024168665VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Apr 13, 2015 Accepting new patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Apr 13, 2015 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2017 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Apr 1, 2010 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Jun 20, 2019 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

5855 Bremo Rd
Ste 100
Richmond, VA 23226
Phone (804) 288-6258

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

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Organizations & group practices 8

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 1

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1841513314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-628-6990",
            "fax_number": "804-628-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "AMY",
        "middle_name": "ELIZABETH MOON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VEGA",
            "middle_name": "E",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.