Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Ida Trice Vaclavik, NP

Individual provider Family Nurse Practitioner · NPI 1134408644

Mrs. Ida Trice Vaclavik, NP is a Nurse Practitioner in Midlothian, Virginia. Qualified in 2010, 16 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
16
Licensed in
DC, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

601 Watkins Centre Pkwy Ste 200
Midlothian, VA 23114-0002
Phone: (804) 594-3130
Fax: (804) 423-6517
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024172575 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN1008705 (DC)

Record details

NPI number1134408644
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 15, 2011
Last updated in NPPESMay 21, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Midlothian