MARY ALBRETHSEN CNP
NPI 1295276673
Nurse Practitioner in Norfolk, VA

Q: What is Mary Albrethsen's NPI number?

The NPI number for Mary Albrethsen is 1295276673. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Q: What is Mary Albrethsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Albrethsen was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 17, 2017PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

6251 E VIRGINIA BEACH BLVD STE 200, NORFOLK, VA 23502(757) 466-8683 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2020, Mar 12, 2020, Feb 11, 2020 and 3 more (6 updates tracked since 2017).

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About Mary Albrethsen Cnp NPPES

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

MARY ALBRETHSEN CNP (NPI 1295276673) is an individual nurse practitioner in Norfolk, Virginia, licensed in Virginia (0024188409) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1295276673

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY ALBRETHSENCredential: CNP

Location Address6251 E VIRGINIA BEACH BLVD STE 200Norfolk, VA 23502-2800

Mailing Address6350 Center Dr Ste 200Norfolk, VA 23502-4107 · (757) 905-5558

Phone(757) 466-8683

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016

Enumeration DateMarch 17, 2017

Last NPPES UpdateJanuary 31, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2024

✔ NPI 1295276673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in VA · 0024188409✔ Licensed in MI · 4704360622✔ Licensed in OH · APRN.CNP.022699✔ Licensed in PA · SP017268

Definition

(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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP017268 (PA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License SP017268 (PA)

6251 E VIRGINIA BEACH BLVD STE 200, Norfolk, VA 23502

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Other Identifiers 1

Medicaid1295276673VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community.Insurance ›

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

Mary Albrethsen Cnp 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 ID6305123589

PECOS Enrollment IDI20240216000431

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 4

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.

38 services38 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.

20 services20 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.

17 services17 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

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