Individual provider Active NPI

Andrea Warren Rupe, NP

  • Family Nurse Practitioner
  • Galax, VA
National Provider Identifier
1942430335
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024-168376 Issued in VA
Practice address
199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Phone
(276) 236-5181
Fax
(276) 236-3297
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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 0024-168376 VA Primary

Addresses

Primary practice location

199 Hospital Dr
Suite 7
Galax, VA 24333-2454

Mailing address

199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Phone (276) 236-5181

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
I20090915000055 VA Practitioner - Nurse Practitioner 8527114610 Reassigns benefits to 1 organization
Practice locations: Pulaski, VA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

101 1St St NW
Pulaski, VA 24301-5605

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024-168376VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew S. Kaatz, M.D. P.C. Current Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 29, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 29, 2019 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

101 1st St NW
Pulaski, VA 24301
Phone (276) 322-1800

101 1st St NW
Ste 2
Pulaski, VA 24301
Phone (540) 577-4882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrea.rupe.1@8042.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1942430335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 HOSPITAL DR",
            "address_2": "SUITE 7",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332454",
            "telephone_number": "276-236-5181",
            "fax_number": "276-236-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOSPITAL DR",
            "address_2": "SUITE 7",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332454",
            "telephone_number": "276-236-5181",
            "fax_number": "276-236-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPE",
        "first_name": "ANDREA",
        "middle_name": "WARREN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024-168376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.