FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.
NPI 1861583510
Internal Medicine - Nephrology in Fredericksburg, VA

Active since September 27, 2006
101 PARK HILL DR, FREDERICKSBURG, VA 22401(540) 371-3010(540) 899-9821 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2025, May 18, 2017 (2 updates tracked since 2017).

About Fredericksburg Nephrology Associates, Inc. NPPES

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

FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. (NPI 1861583510) is a healthcare organization registered as a nephrology in Fredericksburg, Virginia and active in the NPI registry since September 2006. The organization lists Tammy Provencher, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1861583510
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.
Location Address101 PARK HILL DRFredericksburg, VA 22401-3357
Mailing Address101 Park Hill DrFredericksburg, VA 22401-3357 · (540) 371-3010 · Fax (540) 899-9821
Fax(540) 899-9821
Organization SubpartNo
Authorized OfficialTammy ProvencherCredentialing Supervisor · (540) 371-3010
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1861583510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
101 PARK HILL DR, Fredericksburg, VA 22401

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredericksburg Nephrology Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Fredericksburg Nephrology Associates, Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nephrology9
Nurse Practitioner5

Clinicians, nearest first (14)

Nephrology
NPI 1295295301
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1144486747
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952865768
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1619405552
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1285745752
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659258150
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1720280886
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1285838698
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1629025234
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1649467002
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1003885898
101 PARK HILL DR
Fredericksburg, VA 22401
(540) 371-3010
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1376155044
10718 BALLANTRAYE DR STE 406
Fredericksburg, VA 22407
(540) 834-2320
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1205608486
902 GARRISONVILLE RD
Stafford, VA 22556
(866) 389-2727
✔ PECOS11 mi
Nurse Practitioner
NPI 1952294506
4122 PARTNERSHIP WAY
Locust Grove, VA 22508
(800) 881-5101
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fredericksburg Nephrology Associates, Inc.'s NPI number?

The NPI number for Fredericksburg Nephrology Associates, Inc. is 1861583510. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Fredericksburg Nephrology Associates, Inc. located?

Fredericksburg Nephrology Associates, Inc. is located at 101 Park Hill Dr, Fredericksburg, VA 22401. The listed phone number is (540) 371-3010.

What is Fredericksburg Nephrology Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fredericksburg Nephrology Associates, Inc. enrolled in Medicare?

Yes. Fredericksburg Nephrology Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fredericksburg Nephrology Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Fredericksburg Nephrology Associates, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (9) and Nurse Practitioner (5). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fredericksburg Nephrology Associates, Inc. was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.