Individual provider Active NPI

Katelyn Marie Ray, FNP-C

  • Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1942852728
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177813 Issued in VA
Practice address
1931 Medical Ave
Harrisonburg, VA 22801-3437
Phone
(540) 564-5600
Fax
(540) 564-5601
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177813 VA Primary

Addresses

Primary practice location

1931 Medical Ave
Harrisonburg, VA 22801-3437

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-5600

Other identifiers 1

IdentifierTypeStateIssuer
1942852728MedicaidVA

Other names 1

  • Katelyn Marie Marzolf Former name

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
I20191014001462 VA Practitioner - Nurse Practitioner 2163753799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

1931 Medical Ave
Harrisonburg, VA 22801-3437
Phone (540) 564-5400

Hospital & facility affiliations

  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177813VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Sep 30, 2019 Accepting new patients
RMH Medical Group LLC CurrentSince Sep 30, 2019 Accepting new patients

Locations

1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

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 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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1942852728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-564-5600",
            "fax_number": "540-564-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MEDICAL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013437",
            "telephone_number": "540-564-5600",
            "fax_number": "540-564-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942852728",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MARZOLF",
            "middle_name": "MARIE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.