EMILIE FLEAGLE – Psychiatric/Mental Health Nurse Practitioner, NPI 1396463402

EMILIE FLEAGLE is a healthcare provider. based in Henrico, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024184850 (VA). The NPI Number for EMILIE FLEAGLE is 1396463402

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
EMILIE FLEAGLE
NPI
1396463402
Phone
(804) 501-5648
Address
4317 EAST PARHAM ROAD, BUILDING A
Enumeration Date
16 August 2022
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8043786141304
Graduation Year
2022 (4 years ago)
PAC ID
4284179672
Group Practice PAC ID
8527253830
Professional Enrollment ID
I20240710000573
Address ID
VA232256972NO221XXAVEX400
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

8,307 NURSE PRACTITIONER in VA

Provider Addresses for EMILIE FLEAGLE

  • 4317 EAST PARHAM ROAD, BUILDING A

    ATTN: EMILIE FLEAGLE MENTAL HEALTH

    HENRICO, VA 23228

    Phone: (804) 501-5648

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $907.

Total Amount is formed as General ($907) + Research ($0) + Ownership ($0) = $907.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($166).

Total Amount

$907

General + Research + Ownership

Payments

22

Total payment records

General Amount

$907

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-07-10

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
I20240710000573INurse PractitionerVATBD

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 23228)

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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: 8527253830View full group profile
NameSpecialtyState
Nurse PractitionerVA
Clinical PsychologistVA
P S Y C H I A T R YVA
Clinical PsychologistVA
Nurse PractitionerVA
Clinical PsychologistVA
Nurse PractitionerVA
Nurse PractitionerVA
Clinical PsychologistVA

Reviews

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Frequently asked questions

What identifier follows EMILIE FLEAGLE across health systems?
The NPI 1396463402 uniquely identifies EMILIE FLEAGLE in U.S. healthcare data.
Quick check: is EMILIE FLEAGLE active?
Public NPPES data shows EMILIE FLEAGLE with an active NPI status right now.
What does the directory say EMILIE FLEAGLE does?
Insurance directories may phrase it differently, but here EMILIE FLEAGLE maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to EMILIE FLEAGLE?
The directory associates EMILIE FLEAGLE with Henrico, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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