Mosaic Care Center – Family Nurse Practitioner, NPI 1104170398
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Mosaic Care Center
4701 MARKET ST
SUITE B
FREDERICKSBURG, VA 224088613
Phone: (540) 907-4555
Fax: (540) 907-4318
Type: Mailing
415 Elm St
Fredericksburg, VA 224013313
Phone: (540) 907-4555
Type: Location
219 E Davis St Ste 100
Culpeper, VA 227013005
Phone: (540) 907-4555
Type: Location
4343 Plank Rd Ste 110
Fredericksburg, VA 224074807
Phone: (540) 907-4555
Fax: (540) 907-4318
Type: Location
10514 WAKEMAN DR
FREDERICKSBURG, VA 224078040
Phone: (540) 907-4555
Fax: (833) 918-2314
Type: Location
4343 PLANK RD STE 100
FREDERICKSBURG, VA 224074807
Phone: (540) 907-4555
Fax: (540) 907-4318
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: 2020-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (252 days ago).
Enrollment records
1
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20200828001684 | O | Clinic/Group Practice | VA | 2025-09-30 |
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 22408)
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