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CRATER COMMUNITY HOSPICE INC
NPI 1962407700
Hospice Care, Community Based in Petersburg, VA

Active since June 17, 2005CLIA 49D2214337 · Waiver
3916 S CRATER RD, PETERSBURG, VA 23805(804) 526-4300(804) 526-4924 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crater Community Hospice Inc NPPES

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

CRATER COMMUNITY HOSPICE INC (NPI 1962407700) is a healthcare organization registered as a hospice care, community based in Petersburg, Virginia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Brenda D. Mitchell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962407700
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCRATER COMMUNITY HOSPICE INC
Location Address3916 S CRATER RDPetersburg, VA 23805-9202
Mailing Address3916 S Crater RdPetersburg, VA 23805-9202 · (804) 526-4300 · Fax (804) 526-4337
Phone(804) 526-4300
Fax(804) 526-4924
Organization SubpartNo
Authorized OfficialBrenda D. MitchellCeo · (804) 526-4300
Enumeration DateJune 17, 2005
Last NPPES UpdateJune 9, 2010
✔ NPI 1962407700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in VA · 0515-15
3916 S CRATER RD, Petersburg, VA 23805
Open in Google Maps ↗

Other Identifiers 3

Medicaid004910192VA
Other337221Blue Cross Provider Id
Medicare ID-Type Unspecified491532Medicare Provider Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crater Community Hospice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20100609000513Part A · HospiceDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crater Community Hospice Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Heather Lewis, FNP-C
Nurse Practitioner
NPI 1194453902
1401 JOHNSTON WILLIS DR STE 100
North Chesterfield, VA 23235
(804) 330-7990
✔ PECOS✔ Accepts Medicare27 mi
Dorothy Medina, ACNP
Nurse Practitioner
NPI 1710291323
8260 ATLEE RD EMERGENCY DEPT
Mechanicsville, VA 23116
(804) 764-6300
✔ PECOS✔ Accepts Medicare32 mi

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

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 49D2214337

Crater Community Hospice · Petersburg, VA
Active · expires Feb 21, 2027
CLIA Number49D2214337
Laboratory TypeHospice
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorZach Holt
Laboratory Phone(804) 526-4300
Laboratory LocationCrater Community Hospice3916 S Crater Road, Petersburg, VA 23805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Crater Community Hospice, Inc (CMS certification number 491532), from CMS Care Compare.

Crater Community Hospice, Inc

Hospice · Petersburg, VA
OwnershipFor-Profit
CMS Certification Number491532
CMS RegionRegion 3
Medicare-Certified SinceDecember 7, 1995
Average Daily Census39patients per day on average
Location3916 South Crater RoadPetersburg, VA 23805 · Petersburg City County
Phone(804) 526-4300
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home72%
Assisted living facility14%
Nursing facility12%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
29%
Patients with dementia
29%
Patients with circulatory or heart disease
17%
Patients with respiratory disease
8%
Patients with stroke
5%
Patients with other conditions
5%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
453 patient stays
99.1%
Beliefs & Values Addressed (if desired by the patient)
453 patient stays
84.8%
Hospice and Palliative Care Pain Screening
453 patient stays
99.1%
Hospice and Palliative Care Pain Assessment
237 patient stays
98.3%
Hospice and Palliative Care Dyspnea Screening
453 patient stays
99.3%
Hospice and Palliative Care Dyspnea Treatment
239 patient stays
96.2%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
198 patient stays
93.9%
Hospice and Palliative Care Composite Process Measure
453 patient stays
81%
Hospice Visits in the Last Days of Life
445 patient stays
76.6%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
9/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 87
0.9%
Gaps in nursing visits
National percentile 9
19%
Early live discharges
National percentile 96
17.9%
Late live discharges
National percentile 44
37.3%
Burdensome transitions, Type 1
National percentile 80
13.4%
Burdensome transitions, Type 2
National percentile 55
1.5%
Per-beneficiary spending
National percentile 16
$10,636
Nurse care minutes per routine home care days
National percentile 81
15.8 minutes
Skilled nursing minutes on weekends
National percentile 15
5%
Visits near death
National percentile 80
96.9%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

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 Crater Community Hospice Inc's NPI number?

The NPI number for Crater Community Hospice Inc is 1962407700. It was assigned to this organization in the NPPES registry on June 17, 2005.

Where is Crater Community Hospice Inc located?

Crater Community Hospice Inc is located at 3916 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 526-4300.

What is Crater Community Hospice Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Crater Community Hospice Inc enrolled in Medicare?

Yes. Crater Community Hospice Inc is registered in the Medicare PECOS enrollment system.

When is Crater Community Hospice Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Virginia, Hospice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Crater Community Hospice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Crater Community Hospice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crater Community Hospice Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2214337) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crater Community Hospice Inc a Medicare-certified hospice?

Yes. Crater Community Hospice, Inc is a Medicare-certified hospice (CMS certification number 491532), certified since December 7, 1995.

When was this NPI record last updated?

The NPPES record for Crater Community Hospice Inc was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.