COMMONWEALTH EXTENDED CARE
NPI 1487011367
Nurse Practitioner - Family in Richmond, VA

Q: What is Commonwealth Primary Care's NPI number?

The NPI number for Commonwealth Primary Care is 1487011367. It was assigned to this organization in the NPPES registry on January 22, 2016. The provider is also known as Commonwealth Extended Care.

Q: What is Commonwealth Primary Care's specialty?

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

Active since January 22, 2016

1800 GLENSIDE DR, SUITE 103, RICHMOND, VA 23226(804) 285-7425(804) 673-7074 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Commonwealth Extended Care NPPES

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

COMMONWEALTH EXTENDED CARE (NPI 1487011367) is a healthcare organization registered as a family in Richmond, Virginia and active in the NPI registry since January 2016. The organization lists Karissa L. Hackelton, Medical Director/phyician/sharehold, as its authorized official.

NPPES Registry Identity

NPI1487011367

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCOMMONWEALTH PRIMARY CARE

Location Address1800 GLENSIDE DR, SUITE 103Richmond, VA 23226-3769

Mailing Address1800 Glenside Dr, Suite 103Richmond, VA 23226-3769 · (804) 285-7425 · Fax (804) 673-7074

Phone(804) 285-7425

Fax(804) 673-7074

Organization SubpartNo

Authorized OfficialKarissa L. HackeltonMedical Director/phyician/sharehold · (804) 285-7425

Enumeration DateJanuary 22, 2016

✔ NPI 1487011367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024172915

1800 GLENSIDE DR, Richmond, VA 23226

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Other Names 1

Other NameCommonwealth Extended Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

ANGELA D MIDDLETON M.D.

Family Medicine

1800 GLENSIDE DR, SUITE 110
RICHMOND, VA 23226

Richmond City (804) 288-1800

MARGARET CLAIR WESTIN MD

Family Medicine

1800 GLENSIDE DR, STE 110
RICHMOND, VA 23226

Richmond City (804) 288-1800

JORDAN CULLEY

Physician Assistant

1800 GLENSIDE DR
RICHMOND, VA 23226

Richmond City (804) 673-5614

DEBRA S COLBY FAAA

Audiologist

1800 GLENSIDE DR, SUITE 120
RICHMOND, VA 23226

Richmond City (804) 288-8308

DR. MARTIN F BETTS MD

Internal Medicine (Pulmonary Disease)

1800 GLENSIDE DR, SUITE 103
RICHMOND, VA 23226

Richmond City (804) 285-0100

WILLIAM RICHARD JETER MD

Family Medicine

1800 GLENSIDE DR, STE 110
RICHMOND, VA 23226

Richmond City (804) 288-1800

EDWIN G ROBINSON MD

Family Medicine

1800 GLENSIDE DR, SUITE 105
RICHMOND, VA 23226

Richmond City (804) 288-0399

CHRISTINE D ALLAN MD

Family Medicine

1800 GLENSIDE DR, STE 110
RICHMOND, VA 23226

Richmond City (804) 288-1800

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 Commonwealth Primary Care's NPI number?

The NPI number for Commonwealth Primary Care is 1487011367. It was assigned to this organization in the NPPES registry on January 22, 2016. The provider is also known as Commonwealth Extended Care.

Where is Commonwealth Primary Care located?

Commonwealth Primary Care is located at 1800 Glenside Dr Suite 103, Richmond, VA 23226. The listed phone number is (804) 285-7425.

What is Commonwealth Primary Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Commonwealth Primary Care was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.