Rincy John
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chester, VA
NPI 1891477022 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1891477022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0024187444 (VA)
- Practice address
- 13700 River Walk Ave Apt 102
Chester, VA 23836-6171 - Phone
- (804) 821-8084
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aevum BH VA LLC
Practice addresses (Care Compare)
2003 Cobb St
Farmville, VA 23901-2603
Phone (804) 446-1710
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204000530 | VA | Practitioner - Nurse Practitioner | 6800322637 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024187444 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodium Care Group Inc | Current |
Accepting new patients | |
| Aevum BH VA LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Aevum Behavioral Health VA LLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611
2003 Cobb St
Farmville, VA 23901
Phone (434) 392-6106
4403 Forest Hill Ave
Richmond, VA 23225
Phone (804) 231-0231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024187444 | VA | Yes |
Addresses
Primary practice location
13700 River Walk Ave Apt 102
Chester, VA 23836-6171
Mailing address
13700 River Walk Ave Apt 102
Chester, VA 23836-6171
Phone (804) 821-8084
Other providers in Chester, VA
- Jerolin Management Services, LLC
- Jerolin Management Services, LLC
- John Forrester Inc
- John Randolph Family Practice LLC
- John Randolph Family Practice, LLC
- Carl Thomas Johnson
- Daryl Kevin Johnson II
- Essence Lamar Johnson
- Keyonda Shayla Johnson
- Kimberly Lashonda Johnson
All providers in Chester, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.