MRS. IDA TRICE VACLAVIK NP
NPI 1134408644
Nurse Practitioner - Family in Midlothian, VA
About Mrs. Ida Trice Vaclavik Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. IDA TRICE VACLAVIK NP (NPI 1134408644) is an individual family provider in Midlothian, Virginia, licensed in Virginia (0024172575) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Mrs. Ida Trice Vaclavik Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Ida Vaclavik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, VA 23227
- Reassigned Medicare billing, Virginia enrollment
- 581 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 2
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours St Marys Hospital
Acute Care Hospitals · Richmond, VABon Secours Memorial Regional Medical Center
Acute Care Hospitals · Mechanicsville, VABon Secours Richmond Community Hospital
Acute Care Hospitals · Richmond, VABon Secours St Francis Medical Center
Acute Care Hospitals · Midlothian, VARappahannock General Hospital
Critical Access Hospitals · Kilmarnock, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDLOTHIAN, VA 23114
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 Ida Vaclavik's NPI number?
The NPI number for Ida Vaclavik is 1134408644. It was assigned to this individual provider in the NPPES registry on August 15, 2011. The provider is also known as Miss Ida Sawyer Trice Np.
Where is Ida Vaclavik located?
Ida Vaclavik practices at 601 Watkins Centre Pkwy Suite 200, Midlothian, VA 23114. The listed phone number is (804) 594-3130.
What is Ida Vaclavik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ida Vaclavik enrolled in Medicare?
Yes. Ida Vaclavik 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 organization bills Medicare for Ida Vaclavik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ida Vaclavik reassigns Medicare benefits to Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA). The 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 Ida Vaclavik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ida Vaclavik accept?
Health plans from Oscar Health list Ida Vaclavik 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.
Is Ida Vaclavik affiliated with any hospitals?
According to CMS data, Ida Vaclavik is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Bon Secours Richmond Community Hospital, Bon Secours St Francis Medical Center and Rappahannock General Hospital.
When was this NPI record last updated?
The NPPES record for Ida Vaclavik was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Ida Trice Vaclavik, NP · NPI 1134408644
Family physician in Midlothian, Virginia. Individual provider, active in the CMS NPPES registry since August 15, 2011.
## Identity
- **NPI:** 1134408644 (Entity type: Individual)
- **Enumerated:** August 15, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024172575 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 WATKINS CENTRE PKWY, SUITE 200, Midlothian, VA 23114-0002
- **Phone:** (804) 594-3130 · **Fax:** (804) 423-6517
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bon Secours Medical Group Richmond Specialty Care LLC (NPI 1477112225, Richmond, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 21, 2015
- **Other identifiers:** Other C09633 (VA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1134408644) · Data from the CMS NPPES public registry.