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Ena Pettyjohn , FNP-C

Nurse Practitioner β€’ Richmond, VA

Active NPI 1972339760 Individual Practitioner Female Practitioner
Practice location in NPPES

203 E Cary St Ste 201
Richmond, VA 232193746

Call 8046433061 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

203 E Cary St Ste 201

Richmond, VA 232193746

Telephone 8046433061
Fax 8046433817
Organization at the Same NPPES Address or Phone
Mid-Atlantic Kidney Center Facility NPI 1700855228

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mid-Atlantic Kidney Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ena Pettyjohn has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ena Pettyjohn as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Richmond and Virginia

192 active clinicians are listed under Nurse Practitioner with a practice address in Richmond, VA (1,732 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Richmond

13% of these 192 clinicians have the CMS telehealth indicator.

47.9% of these 192 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES VA F08240235

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260226000091

Enrollment State Jurisdiction

VA

PECOS Control ID

1456832583

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Mid-Atlantic Kidney Center

203 E Cary St, Richmond, VA 232193746

Phone: 8046433061

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Lozina Daneva , MD

Internal Medicine - Nephrology

NPI 1144280405

Doctor of Medicine (M.D.)

Dr. Richard Gayle , MD

Internal Medicine - Nephrology

NPI 1033179395

Doctor of Medicine (M.D.)

Dr. Sandy Gibson , MD

Internal Medicine - Nephrology

NPI 1548220288

Doctor of Medicine (M.D.)

Brenda Halstead , NP

Nurse Practitioner - Acute Care

NPI 1992765259

Nurse Practitioner

Dr. Lakshmi Kannan , MD

Internal Medicine - Nephrology

NPI 1598117368

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 28, 2026

Registered at 203 E CARY ST STE 201, RICHMOND, VA 232193746 (Tel: 8046433061)

βœ…
NPI Profile Active September 10, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 10, 2024

Registered at 100 WASHINGTON AVE S STE 1210, MINNEAPOLIS, MN 554012511 (Tel: 8009253368)

πŸ“
Business Mailing Address (Initial Record) September 10, 2024

Registered at 7552 BEAUCHAMP CT, RICHMOND, VA 232251550 (Tel: 8048155399)

πŸ‘€
Provider Name / Credentials (Initial Record) September 10, 2024

Recorded as ENA PETTYJOHN, FNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Nurse Practitioner (license number reported to NPPES: VA F08240235)

🟒
Initial NPI Registration & Enumeration September 10, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972339760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2024
Last Update: January 28, 2026
Sole Proprietor: No

Other Nurse Practitioners in Richmond

All Nurse Practitioners in Richmond

Mailing Address

7552 Beauchamp Ct

Richmond, VA 232251550

Phone: 8048155399

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.