FANCY GAP INTERNAL MEDICINE
NPI 1043049828
Nurse Practitioner in Fancy Gap, VA

NPI Status: Active since July 30, 2024

Contact Information

1661 TURNER SPUR RD
FANCY GAP, VA
ZIP 24328
Phone: (276) 728-0735
Fax: (866) 464-0644

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  • Organization
  • Nurse Practitioner

About FANCY GAP INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Fancy Gap Internal Medicine, a provider established in Fancy Gap, Virginia operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1043049828 assigned on July 2024. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Susan Tracy Roberts Np-c (Owner)

NPI
1043049828
Provider Name
FANCY GAP INTERNAL MEDICINE
Entity Type
Organization
Location Address
1661 TURNER SPUR RD FANCY GAP, VA 24328
Location Phone
(276) 728-0735
Location Fax
(866) 464-0644
Mailing Address
1661 TURNER SPUR RD FANCY GAP, VA 24328
Mailing Phone
(276) 728-0735
Mailing Fax
(866) 464-0644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2024
Last Update Date
07-30-2024
Code Navigator

A nurse practitioner (NP) like Fancy Gap Internal Medicine is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SUSAN TRACY ROBERTS NP-C

Authorized Official Title
OWNER
Authorized Official Phone
(276) 728-0735

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043049828, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 0 + 4 + 1 + 8 + 8 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1043049828.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
1661 TURNER SPUR RD
FANCY GAP, VA 24328
Internal Medicine
1661 TURNER SPUR RD
FANCY GAP, VA 24328
Nurse Practitioner
1661 TURNER SPUR RD
FANCY GAP, VA 24328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043049828, enumerated as an "organization" on July 30, 2024.

The provider is located at 1661 TURNER SPUR RD FANCY GAP, VA 24328 and the phone number is (276) 728-0735.

Nurse Practitioner with taxonomy code 363L00000X.