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ABUNDANCE PRIMARY CARE LLC
NPI 1780558270
Nurse Practitioner - Family in Fredericksburg, VA

Active since September 30, 2025CLIA 49D2337853 · Waiver
4500 PLANK RD STE 1024B, FREDERICKSBURG, VA 22407(540) 527-5113(540) 767-6333 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abundance Primary Care Llc NPPES

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

ABUNDANCE PRIMARY CARE LLC (NPI 1780558270) is a healthcare organization registered as a family in Fredericksburg, Virginia and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Hermine Henry, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1780558270
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameABUNDANCE PRIMARY CARE LLC
Location Address4500 PLANK RD STE 1024BFredericksburg, VA 22407-0120
Mailing AddressPo Box 41021Fredericksburg, VA 22404-1021 · (540) 527-5113 · Fax (540) 767-6333
Phone(540) 527-5113
Fax(540) 767-6333
Organization SubpartNo
Authorized OfficialHermine HenryMedical Director · (321) 276-7402
Enumeration DateSeptember 30, 2025
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1780558270 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
4500 PLANK RD STE 1024B, Fredericksburg, VA 22407
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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 Waiver 49D2337853

Abundance Primary Care LLC · Fredericksburg, VA
Active · expires Jan 29, 2028
CLIA Number49D2337853
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorHermine M. Henry
Laboratory Phone(540) 527-5113
Laboratory LocationAbundance Primary Care LLC4500 Plank Rd, Suite 1024B, Fredericksburg, VA 22407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HERMINE MICHELIN HENRY NP
Nurse Practitioner (Family)
4500 PLANK RD STE 1024B
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 527-5113

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 Abundance Primary Care LLC's NPI number?

The NPI number for Abundance Primary Care LLC is 1780558270. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Abundance Primary Care LLC located?

Abundance Primary Care LLC is located at 4500 Plank Rd Ste 1024B, Fredericksburg, VA 22407. The listed phone number is (540) 527-5113.

What is Abundance Primary Care LLC's specialty?

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

Does Abundance Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2337853) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abundance Primary Care LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.