VIRGINIA ANN O PHILLIPS (APRN) – Family Nurse Practitioner, NPI 1659099380

VIRGINIA ANN O PHILLIPS (APRN) is a healthcare provider. based in Lake city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11021176 (FL). The NPI Number for VIRGINIA ANN O PHILLIPS (APRN) is 1659099380

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
VIRGINIA ANN O PHILLIPS (APRN)
NPI
1659099380
Phone
(386) 719-6843
Address
334 SW TAYLOR GLN
Enumeration Date
18 August 2022
Last Update Date
26 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862872111
Graduation Year
2022 (4 years ago)
PAC ID
0941662902
Group Practice PAC ID
4082022041
Professional Enrollment ID
I20230808003986
Address ID
FL320554881LA4289XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for VIRGINIA ANN O PHILLIPS (APRN)

  • 334 SW TAYLOR GLN

    LAKE CITY, FL 320240952

    Phone: (386) 719-6843

    Type: Mailing

  • 4251 NW AMERICAN LN STE 101

    LAKE CITY, FL 320558845

    Phone: (386) 758-6143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $516.

Total Amount is formed as General ($516) + Research ($0) + Ownership ($0) = $516.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($75).

Total Amount

$516

General + Research + Ownership

Payments

26

Total payment records

General Amount

$516

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230808003986INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082022041View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does VIRGINIA ANN O PHILLIPS (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — VIRGINIA ANN O PHILLIPS (APRN) uses 1659099380.
Is VIRGINIA ANN O PHILLIPS (APRN) listed as active for patients and plans?
The listing shows VIRGINIA ANN O PHILLIPS (APRN) as active in the NPI system.
What taxonomy line describes VIRGINIA ANN O PHILLIPS (APRN)?
For research purposes, treat VIRGINIA ANN O PHILLIPS (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect VIRGINIA ANN O PHILLIPS (APRN) on a map?
Expect Lake City, Florida as a primary anchor for VIRGINIA ANN O PHILLIPS (APRN) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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