Individual provider Active NPI

Angela Brianne Clarke, NP

  • Family Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1982060745
Registry record updated Jan 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173198 Issued in VA
Practice address
10710 Midlothian Tpke
Suite 138
North Chesterfield, VA 23235-4722
Phone
(804) 330-4990
NPI assigned
Jan 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2016

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 0024173198 VA Primary

Addresses

Primary practice location

10710 Midlothian Tpke
Suite 138
North Chesterfield, VA 23235-4722

Mailing address

6450 Studley Rd
Mechanicsville, VA 23116-4752
Phone (804) 317-6611

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
I20160505001968 VA Practitioner - Nurse Practitioner 6204135635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates PCGroup PAC ID 3072594704, 14 clinicians

Practice addresses (Care Compare)

1600 Wilkes Ridge Dr
Suite 210
Henrico, VA 23233-7429
Phone (804) 288-8204

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score
76.32 of 100Reported as group
Quality
65.53
Promoting interoperability
85
Improvement activities
40
Cost
68.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173198VAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: angelaclarke@neurosurgi.allscriptsdirect.net

Organizations & group practices 1

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": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452384000000",
    "number": "1982060745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 STUDLEY RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164752",
            "telephone_number": "804-317-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TPKE",
            "address_2": "SUITE 138",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354722",
            "telephone_number": "804-330-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ANGELA",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2016-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.