Individual provider Active NPI

Elaine Connor Alpern, C.R.N.P.

  • Adult Health Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1912099607
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024164152 Issued in VA
Practice address
1011 E Jefferson St Ste 202
Charlottesville, VA 22902-5354
Phone
(434) 654-2800
Fax
(434) 977-3157
NPI assigned
Sep 29, 2006
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024164152 VA Primary

Addresses

Primary practice location

1011 E Jefferson St Ste 202
Charlottesville, VA 22902-5354

Mailing address

PO Box 79777
Baltimore, MD 21279-0777
Phone (434) 654-2800

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
I20090415000484 VA Practitioner - Nurse Practitioner 5890842579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlottesville Internal Medicine, PLCGroup PAC ID 1456728781, 2 clinicians

Practice addresses (Care Compare)

1410 Incarnation Dr
Suite 205a
Charlottesville, VA 22901-5708
Phone (434) 284-7650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024164152VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Healthcare, PLC Current Accepting new patients
Charlottesville Internal Medicine, PLC CurrentSince Apr 24, 2023 Accepting new patients
Piedmont Emergency Consultants, PLC Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients

Locations

1410 Incarnation Dr
Ste 205A
Charlottesvle, VA 22901
Phone (434) 284-7650

Interoperability endpoints

  • Direct secure messaging: ealpern256439@direct.sentara.net
  • Direct secure messaging: elainealpernnp@ssdirect.aprima.com

Organizations & group practices 4

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 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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1912099607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79777",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790777",
            "telephone_number": "434-654-2800",
            "fax_number": "434-977-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E JEFFERSON ST STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025354",
            "telephone_number": "434-654-2800",
            "fax_number": "434-977-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERN",
        "first_name": "ELAINE",
        "middle_name": "CONNOR",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024164152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.