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BERNADETTE M. FOCAZIO A.N.P
NPI 1245566751
Nurse Practitioner - Adult Health in Culpeper, VA

Active since October 19, 2009PECOS EnrolledAccepts Medicare Assignment
15237 CREATIVITY DR, CULPEPER, VA 22701(540) 321-4281(540) 321-4282 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernadette M. Focazio A.n.p NPPES

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

BERNADETTE M. FOCAZIO A.N.P (NPI 1245566751) is an individual adult health provider in Culpeper, Virginia, licensed in Virginia (0024166552) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245566751
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBERNADETTE M. FOCAZIOCredential: A.N.P
Location Address15237 CREATIVITY DRCulpeper, VA 22701
Mailing AddressPo Box 21975Belfast, ME 04915-4116 · (540) 321-4281 · Fax (540) 321-4282
Phone(540) 321-4281
Fax(540) 321-4282
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 19, 2009
Last NPPES UpdateMay 21, 2019
✔ NPI 1245566751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in VA · 0024166552
15237 CREATIVITY DR, Culpeper, VA 22701
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11200 Sunset Ln, Ste 2210Culpeper, VA 22701-3376 · Phone (540) 825-6100 · Fax (540) 825-1829
Location 2541 Sunset Ln Ste 301Culpeper, VA 22701-3979 · Phone (540) 825-4557 · Fax (540) 825-4566
Location 32503 S Seminole TrlMadison, VA 22727-2690 · Phone (540) 948-6871 · Fax (540) 948-6601

Other Identifiers 3

Medicaid1245566751VA
OtherVV0724CVA · Medicare
OtherP02113117VA · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bernadette M. Focazio A.n.p 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 ID3577748045
PECOS Enrollment IDI20110427000139
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
389 services198 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
257 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
190 services190 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.
122 services95 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
107 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%250 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
46%61 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,653 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
34%455 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%243 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%577 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%538 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
48%577 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%577 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%577 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers21 claims43 services$6.59 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$6.01 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.67 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$196.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

MS. ERIN NICOLE LOPEZ PA-C
Physician Assistant
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
SHENANDOAH FAMILY URGENT CARE, LLC
Clinic/Center (Urgent Care)
15237 CREATIVITY DR, SUITE 103
CULPEPER, VA 22701
Culpeper County (540) 380-8225
ABIGAIL RENNIE CARRUTHERS
Physician Assistant (Medical)
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
SHENANDOAH FAMILY PRACTICE, LLC
Clinic/Center
15237 CREATIVITY DR, SUITE 101
CULPEPER, VA 22701
Culpeper County (540) 380-8231
LISA HARNUM M.D.
Pediatrics
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
RIDGELINE PHYSICIAN SERVICES, LLC
Clinic/Center (Multi-Specialty)
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
STEPHANIE M GRICE MD
Pediatrics
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281
MRS. AMBER D. MULLINS NP-C
Nurse Practitioner (Family)
15237 CREATIVITY DR
CULPEPER, VA 22701
Culpeper County (540) 321-4281

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 Bernadette Focazio's NPI number?

The NPI number for Bernadette Focazio is 1245566751. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Where is Bernadette Focazio located?

Bernadette Focazio practices at 15237 Creativity Dr, Culpeper, VA 22701. The listed phone number is (540) 321-4281.

What is Bernadette Focazio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bernadette Focazio enrolled in Medicare?

Yes. Bernadette Focazio 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.

Is Bernadette Focazio affiliated with any hospitals?

According to CMS data, Bernadette Focazio is affiliated with Novant Health Uva Health System Culpeper Med Cente and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Bernadette Focazio was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.