Active NPI
Nicole Polster, NP
- Primary Care Nurse Practitioner
- Warrenton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F01220431
- Practice address
- 493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689 - Phone
- (703) 618-0934
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Specialist
- Warrenton, VA
- NPI 1811107097
-
- Cardiovascular Disease Physician
- Falls Church, VA
- NPI 1780065656
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Haymarket, VA
- NPI 1154796696
-
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Uva Community Health Medical Group LLC
Practice addresses (Care Compare)
493 Blackwell Rd
Suite 202
Warrenton, VA 20186-2689
Phone (540) 347-4400
Hospital & facility affiliations
- Fauquier Hospital
- Uva Health Haymarket Medical Center
- Uva Health Prince William Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230421001464 | VA | Practitioner - Nurse Practitioner | 8022473214 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01220431 | VA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| NMG Affiliate Practice I, LLC | Current | Accepting new patients | |
| Piedmont Family Practice, PLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients |
Locations
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
493 Blackwell Rd
Ste 202
Warrenton, VA 20186
Phone (540) 341-1734
493 Blackwell Rd
Warrenton, VA 20186
Phone (540) 316-5012
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- npolster513633@direct.healthsystem.virginia.edu
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F01220431 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
493 Blackwell Rd Ste 202
Warrenton, VA 20186-2689
Mailing address
PO Box 748613
Atlanta, GA 30384-8613
Phone (434) 295-1000
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npolster513633@direct.healthsystem.virginia.edu | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2024.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1841929486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748613",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848613",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 BLACKWELL RD STE 202",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862689",
"telephone_number": "703-618-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSTER",
"first_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VA",
"license": "F01220431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npolster513633@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "493 Blackwell Rd Ste 202",
"city": "Warrenton",
"state": "VA",
"country_code": "US",
"postal_code": "201862689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.