Clarvida – Community/Behavioral Health Agency, NPI 1093891335
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Clarvida
5369 PETERS CREEK RD NW
ROANOKE, VA 240193849
Phone: (540) 344-9501
Fax: (540) 344-7162
Type: Location
115 JEFFERSON DAVIS HWY
SUITE 101
FREDERICKSBURG, VA 22401
Phone: (540) 710-5810
Fax: (540) 710-0302
Type: Location
Spotsylvania Avenue, Maryes Heights, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
SUITE 300
FREDERICKSBURG, VA 224088602
Phone: (540) 710-6085
Fax: (540) 710-6419
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (347 days ago).
Enrollment records
1
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20141030002599 | O | Clinic/Group Practice | VA | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 24019)
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