Fredericksburg Area Health and Support Services
NPI 1104170398 · Family Nurse Practitioner · Fredericksburg, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fredericksburg Area Health and Support Services is a Family Nurse Practitioner organization in Fredericksburg, VA (NPI 1104170398).
Provider details
- NPI number
- 1104170398
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joseph Lyttle, Executive Director(540) 907-4555
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mosaic Care Center
Additional practice locations (3)
- 219 E Davis St Ste 100Culpeper, VA 22701-3005Phone: (540) 907-4555
- 415 Elm StFredericksburg, VA 22401-3313Phone: (540) 907-4555
- 4343 Plank Rd Ste 110Fredericksburg, VA 22407-4807Phone: (540) 907-4555Fax: (540) 907-4318
Registry dates
- Enumerated
- 2012-11-09
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Frequently asked questions
- What is Fredericksburg Area Health and Support Services's NPI number?
- Fredericksburg Area Health and Support Services's National Provider Identifier (NPI) is 1104170398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fredericksburg Area Health and Support Services?
- Fredericksburg Area Health and Support Services is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fredericksburg Area Health and Support Services located?
- Fredericksburg Area Health and Support Services's practice location on file with NPPES is 10514 Wakeman Dr, Fredericksburg, VA 22407-8040.
- What is Fredericksburg Area Health and Support Services's phone number?
- The practice phone number listed in the NPPES registry for Fredericksburg Area Health and Support Services is (540) 907-4555.
- Does Fredericksburg Area Health and Support Services accept Medicare?
- Fredericksburg Area Health and Support Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fredericksburg Area Health and Support Services?
- The authorized official listed on Fredericksburg Area Health and Support Services's NPPES record is Joseph Lyttle, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fredericksburg Area Health and Support Services's NPI active?
- Yes — Fredericksburg Area Health and Support Services's NPI (1104170398) is active in the NPPES registry as of the last update on 2022-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.