Nicole Downey Haag, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0024188362 Issued in VA

Practice address

833 Buffalo St Ste 200
Farmville, VA 23901-1111

Phone

(434) 392-8177

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601

  VA

  Medicare reassignment Care Compare group NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Louisa, VA
  • NPI 1104014703
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours Mercy Health Petersburg LLC

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853

  Hospital

  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1992469654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 CRANBECK TER",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353577",
            "telephone_number": "540-820-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BUFFALO ST STE 200",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011111",
            "telephone_number": "434-392-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "NICOLE",
        "middle_name": "DOWNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001287772",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024188362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Lammoglia Graybill, PA-C
• Charles R Green, DDS
• David Allen Greene, LMT
• Terry Robertson Greene, OTR/L
• Adam Guyer, OT
• Benjamin Hackney
• Heather Hamilton
• Susan Hammond, CRNA
• Aimee Harris, PHD, LPC
• Holly Hart, CRNA

• Primary Care Nurse Practitioner in Farmville, VA
• Providers in Farmville, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.