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

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: July 26, 2026.

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
Open in Google Maps ↗

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

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 Compliance 49D2082028

Commonwealth Extended Care · Richmond, VA
Expired · Jul 14, 2026
CLIA Number49D2082028
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2024
Certificate Expiration DateJuly 14, 2026
Laboratory DirectorMargaret C. Westin
Laboratory Phone(804) 285-7425
Laboratory LocationCommonwealth Extended Care1800 Glenside Drive - Suite 103, Richmond, VA 23226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 with the weekly NPPES data releases published by CMS.