Individual provider Active NPI

Rachel Brittany Ambrose, ACNPC-AG

  • Acute Care Nurse Practitioner
  • King George, VA
National Provider Identifier
1952829665
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024175339 Issued in VA
Practice address
8242 Pinewood LN
King George, VA 22485-7676
Phone
(540) 907-0745
NPI assigned
Sep 1, 2017
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024175339 VA Primary

Addresses

Primary practice location

8242 Pinewood LN
King George, VA 22485-7676

Mailing address

8242 Pinewood LN
King George, VA 22485-7676
Phone (540) 907-0745

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
I20171120002161 VA Practitioner - Nurse Practitioner 2668739095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (540) 371-9414

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jul 3, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jul 3, 2018 Accepting new patients
Alignmed Partners, PC CurrentSince Jul 3, 2018 Accepting new patients

Locations

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

Interoperability endpoints

  • Direct secure messaging: rachel.ambrose@897112813207556.direct.elationemr.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 3

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1952829665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8242 PINEWOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857676",
            "telephone_number": "540-907-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8242 PINEWOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857676",
            "telephone_number": "540-907-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "RACHEL",
        "middle_name": "BRITTANY",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.