Individual provider Active NPI

Stephanie Gail Metzger, DNP,RN,CPNP-PC,PMHS

  • Psychiatric/Mental Health Nurse Practitioner
  • McLean, VA
National Provider Identifier
1891028502
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
01094676 Issued in VA
Practice address
1749 Old Meadow Rd Ste 205
MC Lean, VA 22102-4322
Phone
(703) 935-6058
NPI assigned
Sep 13, 2009
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 01094676 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 01094676 VA Primary

Addresses

Primary practice location

1749 Old Meadow Rd Ste 205
MC Lean, VA 22102-4322

Mailing address

2401 Dorothea LN
Maidens, VA 23102-2627
Phone (804) 370-2588

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
I20180117003082 VA Practitioner - Nurse Practitioner 5294960159 Reassigns benefits to 2 organizations
I20260515001352 DC Practitioner - Nurse Practitioner 5294960159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2331 York Rd
Suite 100
Timonium, MD 21093-2225

2401 Dorothea LN
Maidens, VA 23102-2627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01094676VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians PC CurrentSince Oct 28, 2017 Accepting new patients

Locations

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

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

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

9407 Cumberland Rd
New Kent, VA 23124
Phone (804) 966-2242

804 Moorefield Park Dr
Ste 108
North Chesterfield, VA 23236
Phone (804) 323-8282

2810 N Parham Rd
Ste 120
Richmond, VA 23294

2006 Bremo Rd
Ste 101
Richmond, VA 23226
Phone (804) 282-9425

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

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

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

1510 N 28th St
Richmond, VA 23223
Phone (804) 225-1792

5483 Mooretown Rd
Williamsburg, VA 23188
Phone (757) 767-5111

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.

NPI Registry JSON

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

{
    "created_epoch": "1252800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1891028502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DOROTHEA LN",
            "city": "MAIDENS",
            "state": "VA",
            "postal_code": "231022627",
            "telephone_number": "804-370-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 OLD MEADOW RD STE 205",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024322",
            "telephone_number": "703-935-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "STEPHANIE",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "DNP,RN,CPNP-PC,PMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "01094676",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "01094676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.