MR. JOHN G ELMS APRN, FNP-BC
NPI 1053063925
Nurse Practitioner - Family in Glen Allen, VA

Active since January 21, 2022PECOS EnrolledAccepts Medicare Assignment
52.89/100
CMS Quality Rating
11271 NUCKOLS RD, GLEN ALLEN, VA 23059(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2024, Aug 21, 2024, Aug 5, 2024 and 5 more (8 updates tracked since 2022).

About Mr. John G Elms Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN G ELMS APRN, FNP-BC (NPI 1053063925) is an individual family provider in Glen Allen, Virginia, licensed in Virginia (0024184505) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053063925
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN G ELMSCredential: APRN, FNP-BC
Location Address11271 NUCKOLS RDGlen Allen, VA 23059-5502
Mailing Address11271 Nuckols RdGlen Allen, VA 23059-5502
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 21, 2022
Last NPPES UpdateAugust 19, 20258 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1053063925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024184505
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001262391 (VA)
11271 NUCKOLS RD, Glen Allen, VA 23059

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John G Elms Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931584109
PECOS Enrollment IDI20220923002884
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show John Elms reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
9851 BROOK RD
Glen Allen, VA 23059
  • Reassigned Medicare billing, Virginia enrollment
  • 144 clinicians in this Medicare group
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
Urgent Care
46200 POTOMAC RUN PLZ
Sterling, VA 20164
  • Reassigned Medicare billing, Virginia enrollment
  • 42 clinicians in this Medicare group
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 266 clinicians in this Medicare group
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 114 clinicians in this Medicare group
Emergency Medicine
3825 N LAFAYETTE ST
Denver, CO 80205
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 81 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
40 services37 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
31 services30 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
28 services27 patients
Red blood cell concentration measurement 85014
Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.
28 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.53
Improvement Activities40
Cost23.24

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11271 NUCKOLS RD, MINUTECLINIC
GLEN ALLEN, VA 23059
Student in an Organized Health Care Education/Training Program
11271 NUCKOLS RD
GLEN ALLEN, VA 23059
Pharmacist
11271 NUCKOLS RD
GLEN ALLEN, VA 23059
Pharmacist
11271 NUCKOLS RD
GLEN ALLEN, VA 23059
Pharmacist
11271 NUCKOLS RD
GLEN ALLEN, VA 23059
Nurse Practitioner (Family)
11271 NUCKOLS RD
GLEN ALLEN, VA 23059
Pharmacist
11271 NUCKOLS RD
GLEN ALLEN, VA 23059
Pharmacist
11271 NUCKOLS RD
GLEN ALLEN, VA 23059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Elms's NPI number?

The NPI number for John Elms is 1053063925. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is John Elms located?

John Elms practices at 11271 Nuckols Rd, Glen Allen, VA 23059. The listed phone number is (866) 389-2727.

What is John Elms's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Elms enrolled in Medicare?

Yes. John Elms is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Elms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Elms reassigns Medicare benefits to 6 organizations: Bon Secours Urgent Care LLC (Glen Allen, VA), University Of Virginia Physicians Group (Charlottesville, VA), Northern Virginia Carenow Urgent Care, LLC (Sterling, VA), Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA), Minuteclinic Primary Care - Virginia PLLC (Leesburg, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Elms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Elms accept?

Health plans from Oscar Health list John Elms as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Elms was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.