Individual provider Active NPI

Stacey L Ratigan, NP

  • Family Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1871599464
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164317 Issued in VA
Practice address
15237 Creativity Dr
Culpeper, VA 22701
Phone
(540) 321-4281
Fax
(540) 321-4282
NPI assigned
Jun 28, 2005
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024164317 VA Primary
Legal Medicine 173000000X 0024164317 VA

Addresses

Primary practice location

15237 Creativity Dr
Culpeper, VA 22701

Mailing address

PO Box 21975
Belfast, ME 04915-4116
Phone (540) 321-4281

Other practice location 1

99 Tavern Rd
Martinsburg, WV 25401-2890
Phone (304) 263-4999 ext. 1063

Other practice location 2

541 Sunset Ln Ste 301
Culpeper, VA 22701-3979
Phone (540) 825-4557

Other identifiers 3

IdentifierTypeStateIssuer
1871599464MedicaidVA
VVH182COtherVAMEDICARE
007789203MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040308000285 VA Practitioner - Nurse Practitioner 4789572207 Reassigns benefits to 1 organization
I20090218000536 DC Practitioner - Nurse Practitioner 4789572207 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024164317VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 7, 2020 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Nov 18, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2020 Accepting new patients
Advanced Health Inc Legal Medicine Past Accepting new patients
Ridgeline Physician Services, LLC Past Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

541 Sunset Ln
Ste 301
Culpeper, VA 22701
Phone (540) 825-4557

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

8644 Sudley Rd
#220
Manassas, VA 20110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1871599464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21975",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154116",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15237 CREATIVITY DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "22701",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 TAVERN RD",
            "address_purpose": "LOCATION",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012890",
            "country_code": "US",
            "telephone_number": "304-263-4999 x1063",
            "fax_number": "304-263-0984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Sunset Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATIGAN",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164317",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "VA",
            "license": "0024164317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871599464",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VVH182C",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007789203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.