Individual provider Active NPI

Mary K. St. Germain, N.P.

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1992082796
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024169587 Issued in VA
Practice address
15 N Thompson St
Richmond, VA 23221-2762
Phone
(804) 839-9839
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 0024169587 VA Primary

Addresses

Primary practice location

15 N Thompson St
Richmond, VA 23221-2762

Mailing address

15 N Thompson St
Richmond, VA 23221-2762
Phone (804) 839-9839

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
I20140217000112 VA Practitioner - Nurse Practitioner 2365601267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minerva Health LLCGroup PAC ID 4688910706, 8 clinicians

Practice addresses (Care Compare)

2105 Cranbeck Rd
North Chesterfield, VA 23235-3505
Phone (804) 464-8412

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cross-Over Ministry Inc. Current Accepting new patients
Minerva Health LLC CurrentSince Mar 15, 2024 Accepting new patients
The Cross-Over Ministry Inc. Current Accepting new patients
Renewing Rva Nurse Practitioner CurrentSince Mar 31, 2024 Accepting new patients

Locations

1807 N Parham Rd
Richmond, VA 23229
Phone (804) 325-4403

15 N Thompson St
Richmond, VA 23221
Phone (804) 839-2003

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1992082796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N THOMPSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212762",
            "telephone_number": "804-839-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N THOMPSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212762",
            "telephone_number": "804-839-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GERMAIN",
        "first_name": "MARY",
        "middle_name": "K.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.