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NPI 1619704996ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Fredericksburg, VA
Nurse Practitioner, Psych/Mental Health with Holistic Wellness Group LLC, practicing in Fredericksburg, Virginia. Enrolled in Medicare as practitioner - nurse practitioner. Vanda Pharmaceuticals Inc. reported $24.81 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1619704996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 19, 2024 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Aug 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 0024191249 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (VA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Holistic Wellness Group LLCFredericksburg, VA · 5 clinicians
Industry payments (Open Payments)
- 2025$24.81 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vanda Pharmaceuticals Inc. | $24.81 | 1 |
What the 2025 payments were for
- Food and Beverage$24.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 60 psychiatric nurse practitioners in Fredericksburg · All psychiatric nurse practitioners in Virginia