Ena Pettyjohn, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F08240235 Issued in VA

Practice address

203 E Cary St Ste 201
Richmond, VA 23219-3746

Phone

(804) 643-3061

Fax

(804) 643-3817

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Mid-Atlantic Kidney CenterGroup PAC ID 7113821513, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAJACD

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.

• Mid-Atlantic Kidney Center

  • Nephrology Physician
  • Richmond, VA
  • NPI 1700855228

  VA

  Medicare reassignment Care Compare group NPD
• Advanced Arthritis and Rheumatology Care, PC

  • Rheumatology Physician
  • Midlothian, VA
  • NPI 1922366012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1972339760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 BEAUCHAMP CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251550",
            "telephone_number": "804-815-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E CARY ST STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193746",
            "telephone_number": "804-643-3061",
            "fax_number": "804-643-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTYJOHN",
        "first_name": "ENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "F08240235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank D. Petruzella, M.D.
• Annelise Arceneaux Petry, LCSW
• Robert Alan Petry, LICENSED CLINICAL PS
• Richard Joseph Pettit, MD
• Carlton Heath Petty, M.D.
• Benjamin Franklin Petway
• Madalyn Peyton, LCSW
• Richard Alan Pfeffer, EDD
• Amanda Pfeifer, CO
• John Sterling Pfeifer, M.D.

• All providers in Richmond, VA
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.