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ENA PETTYJOHN FNP-C
NPI 1972339760
Nurse Practitioner in Richmond, VA

Active since September 10, 2024PECOS Enrolled
203 E CARY ST STE 201, RICHMOND, VA 23219(804) 643-3061(804) 643-3817 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, Sep 10, 2024 (2 updates tracked since 2024).

About Ena Pettyjohn Fnp-c NPPES

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

ENA PETTYJOHN FNP-C (NPI 1972339760) is an individual nurse practitioner in Richmond, Virginia, licensed in Virginia (F08240235) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972339760
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameENA PETTYJOHNCredential: FNP-C
Location Address203 E CARY ST STE 201Richmond, VA 23219-3746
Mailing Address7552 Beauchamp CtRichmond, VA 23225-1550 · (804) 815-5399
Phone(804) 643-3061
Fax(804) 643-3817
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 10, 2024
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1972339760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · F08240235
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
203 E CARY ST STE 201, Richmond, VA 23219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ena Pettyjohn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456832583
PECOS Enrollment IDI20260226000091
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ena Pettyjohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid-Atlantic Kidney Center
Same address
Nephrology
203 E CARY ST STE 201
Richmond, VA 23219
  • Reassigned Medicare billing, Virginia enrollment
  • 10 clinicians in this Medicare group
NPI 1700855228 (804) 643-3061

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LAKSHMI KANNAN MD
Internal Medicine (Nephrology)
203 E CARY ST STE 201
RICHMOND, VA 23219
Richmond City (804) 643-3061
MID-ATLANTIC KIDNEY CENTER
Internal Medicine (Nephrology)
203 E CARY ST STE 201
RICHMOND, VA 23219
Richmond City (804) 643-3061

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 Ena Pettyjohn's NPI number?

The NPI number for Ena Pettyjohn is 1972339760. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Ena Pettyjohn located?

Ena Pettyjohn practices at 203 E Cary St Ste 201, Richmond, VA 23219. The listed phone number is (804) 643-3061.

What is Ena Pettyjohn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ena Pettyjohn enrolled in Medicare?

Yes. Ena Pettyjohn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ena Pettyjohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ena Pettyjohn reassigns Medicare benefits to Mid-Atlantic Kidney Center (Richmond, VA). The 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 Ena Pettyjohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ena Pettyjohn was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.