Fredericksburg Nephrology Associates, Inc.
NPI 1861583510ActiveOrganization· Internal Medicine, Nephrology· Fredericksburg, VA
Internal Medicine, Nephrology in Fredericksburg, Virginia, registered in NPPES in September 2006. The authorized official on file is Tammy Provencher, PROVENCHER, Credentialing Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861583510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Nov 17, 2025 |
| Certified by provider | Nov 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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