Individual provider Active NPI

James Ryan Robertson, ACNP

  • Acute Care Nurse Practitioner
  • Martinsville, VA
National Provider Identifier
1962768481
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024170443 Issued in VA
Practice address
1 E Market St Ste C1
Martinsville, VA 24112-3747
Phone
(276) 638-1983
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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 0024170443 VA Primary

Addresses

Primary practice location

1 E Market St Ste C1
Martinsville, VA 24112-3747

Mailing address

1 E Market St Ste C1
Martinsville, VA 24112-3747
Phone (276) 638-1983

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
I20130122000299 VA Practitioner - Nurse Practitioner 7012160294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Care of Virginia PCGroup PAC ID 9739174640, 19 clinicians
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

1 E Market St
C1
Martinsville, VA 24112-3747
Phone (276) 638-1983

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170443VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care of Virginia PC CurrentSince Feb 1, 2016 Accepting new patients
Apogee Medical Group Virginia, PC Past Accepting new patients

Locations

1 E Market St
Ste C1
Martinsville, VA 24112
Phone (276) 638-1983

1 E Market St
Ste B1
Martinsville, VA 24112
Phone (276) 632-1872

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

Interoperability endpoints

  • Direct secure messaging: jamesrobertson@pcv.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1962768481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MARKET ST STE C1",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123747",
            "telephone_number": "276-638-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MARKET ST STE C1",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123747",
            "telephone_number": "276-638-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JAMES",
        "middle_name": "RYAN",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024170443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.