Sandra Custodio, AG-PCNP
Sandra Custodio, AG-PCNP is a Nurse Practitioner in Charlottesville, Virginia. Qualified in 2000, 26 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Virginia.
- Years since qualifying
- 26
- Licensed in
- MA, VA
- In the registry since
- 2014
- Specialties on file
- 4
Practice location Address checks out
415 Ray C Hunt Dr Ste 2200Charlottesville, VA 22903-2980
Phone: (434) 924-5700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 — (434) 982-1700
- 1215 Lee St, Charlottesville, VA 22908-6232 — (434) 982-1700
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 0024189672 (VA) |
|---|---|
| Infectious Disease Physician | Taxonomy 207RI0200X · Licence 0024189672 (VA) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence RN2328892 (MA) |
| Registered Nurse | Taxonomy 163W00000X · Licence RN2328892 (MA) |
Record details
| NPI number | 1669886396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AG-PCNP |
| Sole proprietor | No |
| NPI enumerated | June 20, 2014 |
| Last updated in NPPES | January 24, 2025 |
| Certification date | January 24, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | University Of Virginia Physicians Group — 1667 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 114 |
| Average patient age | 65 |
Practises at
- University Of Virginia Medical Center Hospital · Charlottesville, VA
Colleagues at University of Virginia Physicians Group
- Shao Zun Chen, MD Diagnostic Radiology Physician · Charlottesville, VA
- Karen L Clark, ACNP Acute Care Nurse Practitioner · Charlottesville, VA
- Jeannine Engel, MD Internal Medicine Physician · Charlottesville, VA
- Benjamin C Garrison II, PA Medical Physician Assistant · Locust Grove, VA
- MS. Elaine E Hannah, AGACNP-BC Critical Care Medicine Registered Nurse · Charlottesville, VA
- Dr. Priya Kohli, MD Family Medicine Physician · Charlottesville, VA
- Mark D. Okusa, MD Nephrology Physician · Charlottesville, VA
- Dr. Spencer Cranston Payne, MD Otolaryngology Physician · Charlottesville, VA
- Kathleen Anne Ranney, MD Anesthesiology Physician · Baltimore, MD
- Hetal Ray, MD Ophthalmology Physician · Albany, NY
- Patricia Claire Scrivani, MD Obstetrics & Gynecology Physician · Charlottesville, VA
- Mary Thom, MD Student in an Organized Health Care Education/Training Program · Lynchburg, VA
Other providers in Charlottesville
-
Christopher J. Arnold, MD
1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 · (434) 982-1700
-
Dr. Rebecca A. Dillingham, MD
1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 · (434) 982-1700
-
Gerald R. Donowitz, MD
1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 · (434) 982-1700
-
Joshua C Eby, MD
1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 · (434) 982-1700
-
Maria C Geba, MD
1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-1931