Providence Medical LLC
NPI 1831056191 · Family Nurse Practitioner · Fredericksburg, VA
Providence Medical LLC is a Family Nurse Practitioner organization in Fredericksburg, VA (NPI 1831056191).
Provider details
- NPI number
- 1831056191
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Matthew Daugherty, Ceo(347) 571-1312
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2026-01-08
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Providence Medical LLC's NPI number?
- Providence Medical LLC's National Provider Identifier (NPI) is 1831056191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical LLC?
- Providence Medical LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Medical LLC located?
- Providence Medical LLC's practice location on file with NPPES is 150 Riverside Pkwy Ste 115 Pmb 5560, Fredericksburg, VA 22406-1094.
- What is Providence Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical LLC is (347) 571-1312.
- Who is the authorized official for Providence Medical LLC?
- The authorized official listed on Providence Medical LLC's NPPES record is Matthew Daugherty, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical LLC's NPI active?
- Yes — Providence Medical LLC's NPI (1831056191) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.