Individual provider Active NPI

Virginia S Fleener, ARNP

  • Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1871633156
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3204152 Issued in FL
Practice address
4215 - E. Kelson Ave
Marianna, FL 32446
Phone
(850) 526-3434
Fax
(850) 526-7743
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3204152 FL Primary

Addresses

Primary practice location

4215 - E. Kelson Ave
Marianna, FL 32446

Mailing address

4215 - E. Kelson Ave
Marianna, FL 32446
Phone (850) 526-3434

Other identifiers 1

IdentifierTypeStateIssuer
021632000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040108000938 FL Practitioner - Nurse Practitioner 7719887603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chipola Medical Associates LLCGroup PAC ID 2264708031, 8 clinicians

Practice addresses (Care Compare)

4215 Kelson Ave
Marianna, FL 32446-6502
Phone (850) 526-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
86.87
Improvement activities
40
Cost
68.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chipola Medical Associates, LLC CurrentSince Aug 7, 2017 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

4215 Kelson Ave
Marianna, FL 32446
Phone (850) 526-3434

4215 Kelson Ave
Ste E
Marianna, FL 32446
Phone (850) 482-8520

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1871633156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 - E. KELSON AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-526-3434",
            "fax_number": "850-526-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 - E. KELSON AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-526-3434",
            "fax_number": "850-526-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEENER",
        "first_name": "VIRGINIA",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3204152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021632000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.