ONE HEART MEDICAL PLLC
NPI 1083371967
Nurse Practitioner - Family in Woodstock, VA
About One Heart Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ONE HEART MEDICAL PLLC (NPI 1083371967) is a healthcare organization registered as a family in Woodstock, Virginia and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Kelsey Cooper, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
One Heart Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to One Heart Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2250696
One Heart Medical PLLC · Woodstock, VAFrequently 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 One Heart Medical PLLC's NPI number?
The NPI number for One Heart Medical PLLC is 1083371967. It was assigned to this organization in the NPPES registry on November 26, 2021.
Where is One Heart Medical PLLC located?
One Heart Medical PLLC is located at 1066 Hisey Ave Ste 104, Woodstock, VA 22664. The listed phone number is (540) 481-4393.
What is One Heart Medical PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is One Heart Medical PLLC enrolled in Medicare?
Yes. One Heart Medical PLLC is registered in the Medicare PECOS enrollment system.
When is One Heart Medical PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through One Heart Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to One Heart Medical PLLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does One Heart Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2250696) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for One Heart Medical PLLC was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# One Heart Medical Pllc · NPI 1083371967
Family organization in Woodstock, Virginia. Organization record, active in the CMS NPPES registry since November 26, 2021.
## Identity
- **NPI:** 1083371967 (Entity type: Organization)
- **Enumerated:** November 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kelsey Cooper, OWNER/PROVIDER
## Practice location
- **Address:** 1066 HISEY AVE STE 104, Woodstock, VA 22664-2088
- **Phone:** (540) 481-4393
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
- **Other identifiers:** Other 1992155857 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083371967) · Data from the CMS NPPES public registry.