Individual provider Active NPI

Jae Ryoung Anaza, FNP, ACHPN

  • Family Nurse Practitioner
  • Saluda, VA
National Provider Identifier
1891311213
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179369 Issued in VA
Practice address
672 Gloucester Rd
Saluda, VA 23149-2591
Phone
(804) 758-2363
Fax
(804) 758-3857
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179369 VA Primary

Addresses

Primary practice location

672 Gloucester Rd
Saluda, VA 23149-2591

Mailing address

672 Gloucester Rd
Saluda, VA 23149-2591
Phone (804) 758-2363

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104002890 VA Practitioner - Nurse Practitioner 8527478635 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

10571 Telegraph Rd
Suite 203
Glen Allen, VA 23059-4652
Phone (804) 673-1330

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024179369VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Aug 4, 2024 Accepting new patients
Care Alternatives of Virginia LLC CurrentSince Jun 6, 2025 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Nov 30, 2020 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 4, 2024 Accepting new patients
Home Health Care Services of Virginia, LLC PastSince May 12, 2024 Accepting new patients

Locations

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

L2540
Columbus, OH 43260

10571 Telegraph Rd
Ste 203
Glen Allen, VA 23059
Phone (804) 673-1330

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

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.

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1891311213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 GLOUCESTER RD",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231492591",
            "telephone_number": "804-758-2363",
            "fax_number": "804-758-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 GLOUCESTER RD",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231492591",
            "telephone_number": "804-758-2363",
            "fax_number": "804-758-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAZA",
        "first_name": "JAE",
        "middle_name": "RYOUNG",
        "credential": "FNP, ACHPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, VA

Sources for this page

Verify at the official NPI Registry.