MARK RICHARD RUGARBER FNP NPI 1326619669

NPI Information

NPI: 1326619669
Provider Name: MARK RICHARD RUGARBER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
205 E. HIRST ROAD, SUITE 203
PURCELLVILLE, VA
ZIP 20132
Phone: (540) 751-0255
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Mark Richard Rugarber, FNP is a family nurse practitioner in Purcellville, VA with 3 years of experience. Mark Richard Rugarber, FNP NPI is 1326619669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 E. HIRST ROAD, SUITE 203
PURCELLVILLE, VA
ZIP 20132-602
Phone: (540) 751-0255
Fax: (540) 751-0466

The NPI 1326619669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 10/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F06211748	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	0024187734	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1326619669	MEDICAID	VIRGINIA
2	30015421980002	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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