Category Archives: All News

Supporting NPs During COVID-19

COVID-19 is presenting NPs, and the nation, with an unprecedented health care challenge while placing considerable demands and stressors on NPs, both professionally and personally. VCNP is working to share resources and support our members during this time. We hope you will refer to this web page to find valuable online resources and updates as they impact your practice during this time. Please let us know how we can continue supporting you by contacting us at

Professional resources

Children & Teens

Mental health

Fredericksburg Region VCNP meeting minutes 3/9/2020

Meeting was held at Castiglia’s, sponsored by Amovig for Migraines.

Rachel Farrar has agreed to President Elect role.

Hishani Perera graduated her DNP program 12/2019 and will now be State Conference Committee Chair. She presented her poster at the VCNP conference. Her doctorate project won 2 awards:

Nicole Brooks, Membership, updated us on the last call meeting. Having CEs at the local meetings make NPs attend more meetings. They are considering automatic renewal for VCNP membership and dues. VCNP liked the fact that the last few meetings included NPs and PAs.

Timmye Ross, Public Relations chair, informed us there is a new form to obtain CEs for the group.

Linda Hazelgren, president, Shared that Jill Sarbaugh, NP with Cardiology Associates will be doing a talk on the Watchman procedure for our group.

Consideration for a Autumn local conference.

Consideration of a philanthropy project for the spring. Linda has done the presentation for “Athletes Don’t” a few times. This is about going in to high schools and educating/talking about the hazards of vaping.

Volunteer opportunities at Living Waters, Moss Free Clinic.

Moss Free Clinic is sponsoring a 5K run.

Next meeting Orofino’s on Invokana 4/13/2020.

Submitted 3/12/2020 JPSF

Shenandoah Region-General Meeting Minutes February 2020

VCNP-Shenandoah Region

February 2020 Meeting Minutes

February 20, 2020

Members in attendance:  Maria Circosta, Barbara Call, Amy Graham, Maretta Yoder, Erin Morris, Beth Poore-Bowman, Sue Klassen

NP Students in attendance:  Kymber Beers, Heather Codding

Meeting Location:  Rocktown Kitchen, Harrisonburg Virginia

Business Meeting:  

  1.  Future meetings were discussed.

-April 16, 2020 will be at Montpelier restaurant in Harrisonburg.  Speaker:  Grayce Kim- Pharmacist with Gilead Sciences.  Topic:  “Rheumatoid Arthritis Disease State Overview.”

-Future Meetings for 2020:  9/17/2020, and 11/19/2020

  • Erin Morris shared that she is stepping down as President.  Maria Circosta will move into this role effective immediately.
  •  Topics for future meetings were discussed:

-Dr. Domingus- Motivational Interviewing

-Dr. Kent Folsom- x-ray lectures

-Dr. Schofield- cardiologist- lifestyle medication

-Dr. Martin- rheumatologist- Lupus

The meeting was then adjourned.

Respectively submitted.

Maretta Yoder, Secretary

Shenandoah Region-General Meeting Minutes November 2019

VCNP-Shenandoah Region

November 2019 Meeting Minutes

November 21, 2019

Members in attendance:  Maria Circosta, Barbara Call, Amy Graham, Chris Moore, Andrea Knopp, Kasey Saunders, Allison Chupp, Maretta Yoder, Vicky Sullivan, Mary Faith Dudley, Sharon Strang, Susan Adamson, Sarah Stowell 

NP Students in attendance:  Kymber Beers, Heather Codding, Cheryl Miller, Allison MonterroZo, Ashley Singleton, Emily Johnson, Crystal O’Connor, Sarah Gibson, Natalie Detrich

Meeting Location:  Taste of Thai Restaurant. Harrisonburg, VA.

Speaker:  Allison Chupp FNP discussed details regarding the start up and daily operations of her NP run health clinic, North Mountain Clinic in Broadway VA. 

Business Meeting:  

  1.  Future meetings were discussed.  Further details TBD. 

-Dates tentatively set for 2/20/20, 4/16/2020, 9/24/2020, and 11/19/2020

  • Maria Circosta shared information from the VCNP Board Meeting:

– Lynchburg and Charlottesville CME opportunities.

– Education regarding dangers of vaping.

– Further discussion about opioids and prescribing practices. 

-There was extensive discussion regarding autonomous practice.  There is frustration with the low number of NP’s in Virginia obtaining their license to practice independently- only 15% of eligible NP’s have obtained the licensure.  Eligible nurse practitioners are encouraged to apply for this license.  VCNP is willing to help members through the attestation process if needed.  VCNP is looking into targeting AANP members residing in Virginia for membership.

     -There was discussion about adding a student liaison to the board as a non-voting member,

       but details regarding their role and length of term need to be finalized. 

The meeting was then adjourned.

Respectively submitted.

Maretta Yoder, Secretary

CMS Final Rule: NP and PA Preceptor Documentation Updates – Success!

Susanne J. Phillips, DNP, APRN, FNP-BC

Posted By: Susanne J. Phillips, DNP, APRN, FNP-BC on |November 29, 2019

To access original post visit:–success-

On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Physician Fee Schedule final rule, which will positively affect the NP and PA preceptor documentation burden. For those of you providing clinical teaching rotations for advanced practice registered nurse (APRN) and/or PA students, you may be aware that in March 2018 CMS reduced the documentation burden for physician preceptors. This change authorized teaching physicians to verify and sign student documentation components of evaluation and management (E/M) services rather than have to re-document the work themselves. Unfortunately, this created unintended consequences for APRN and PA preceptors and the students they supervise.

In an era where productivity in patient care has been a major driver of reimbursement, the 2018 rule caused many practices to abruptly discontinue precepting APRN and PA students—creating a crisis in NP and PA education. As a result, the American Association of Nurse Practitioners (AANP), the American Academy of PAs (AAPA), nursing, and physician stakeholders worked diligently to mobilize their constituencies and to request changes to the 2020 final rule. Through lobbying efforts and regulatory comments, CMS revised the language, thereby creating documentation requirement parity among all clinician preceptors.

Effective January 1, 2020, APRN and PA preceptors may review and verify medical record documentation entered by other licensed health care providers and members of the health care team, as well as student APRNs and PAs. This update will ultimately improve patient access to high-quality health care.

There are additional changes affecting APRN and PA providers including, but not limited to, updates to Medicare telehealth service reimbursement, E/M services documentation and reimbursement, physician supervision requirements for PAs, and payment for transitional care management services. Click the links in the references below for additional information.


VCNP Peninsula Business Meeting 11/20/19

VCNP-Peninsula Region Business Meeting Minutes November 20, 2019 I. The meeting was opened by, Cheryl Reeser President -Elect at 1945. All were welcomed TOPIC: Psoriatic Arthritis Layers of Care, Exploring Options for Patients with Psoriasis, Psoriatic Arthritis of Hidradenitis Suppurative Presented by AbbVie Pharmaceuticals II. There were no new member present. a) New Business 1. Update from State VCNP: Cheryl Reeser, president-elect discussed these topics: a) Julie Lear is the new president elect b) Recommendations to increase membership in VCNP were discussed c) Continue to encourage inactive members to rejoin 2. Members should pay close attention to all emails and request for support. a). Tidewater Legislative Reception -This event is sponsored by the VNA Hampton Roads Chapter and the VCNP Tidewater and Peninsula Regions With support from: • National Association of Pediatric Nurse Practitioners • Virginia Association of DNPs • American College of Nurse Midwives • American Association of Occupational Health Nurses b) Save the date “Pharmfest” is in January 2020 in Charlottesville-Piedmont Region 1. Committee Reports Secretary Report- Dr. Hazel Ruff stated that all the dinner minutes are posted on the website. Please review. 1. Treasurer’s report Amber Stenson present and reported that $13,379.99 is in checking account and $5.00 in saving’s account. CD account has $1406.53 • Budget 2019-2020 is available by request 2. Membership Report: Krystyna Caratachea reported that we are still trying to increase our membership. Encouraged members to recruit co-workers and students. We have 79 active members, there were 114. Members were encouraged to renew their membership. We have an active NP Facebook for current information. 3. Pam Biernacki was not present but President Elect Cheryl Reeser reiterated these discussions • Check the VCNP webinar for “Full Scope Practice” discussions. Autonomy Practice Applications are open, and information is available on the VCNP website. • She discussed the need for all NPs to consider supporting the PAC program. • Conference representative Julie Lear was present reiterated these discussions: The Annual March 4-7 2020 conference will be held in Norfolk VA. Pre-Conference is March 4, 2019. 4. The board positions are open for the next 2 years. See President Resser if you would like to volunteer. A. Public Relations- Stephanie King gave out gifts to all present to commemorate National NP week November 2019. B. Secretary- Dr. Hazel Ruff has volunteered to remain in this office D. Treasurer- Amber Stenson has agreed to stay in this office c) Old Business A. The executive board discussed and voted to continue to support The Hampton Roads Ecumenical Lodging and Provisions (H.E.L.P.) (food bank) and Peninsula Food Bank. The association will match the total monies collected in each business meeting and give as a donation to the two food banks. Treasurer, Amber Stenson will dispense the donations to the two food banks. B. Constant Contact: Reminder to all that the email program that VCNP has chosen to use is Constant Contact. Constant Contact is seen as spam by some servers. Please set your spam settings to accept these messages. C. The State has selected a Malpractice Insurance carrier to partner with-Coverys- VCNP members will get a discount. IV. Job Announcements: Check the for State jobs online V. Preceptor Requests/Opportunities: none Announcement: We will try to work on posting minutes in a user-friendly manner. Cheryl and Hazel will seek assistance from Amy Sales in the Richmond office. a) December Dinner Meeting “Antiviral for Influenza” b) January Dinner Meeting “COPD” January 15, 2020 Donation Collection: Amount collected December 18, 2019 $126 Matching funds from VCNP-Peninsula will be split 50\50 Peninsula Food Bank / H.E.L.P. Inc. VI. Adjournment: Cheryl Reeser adjourned meeting. Please forward any information you may have for future meetings to Jemecia Braxton or Cheryl Reeser. Post Business Meeting Topic: PAC (Political Action Committee) donation envelopes are on all the tables. Our goal is to raise $15,000 this year for political support to move NP friendly issues forward with the ultimate goal of Full Scope Practice. VCNP as a group cannot donate. All donations must come from individuals. Please consider a donation. Respectfully submitted, Hazel L. Ruff, Secretary

Shenandoah Region- General Meeting Minutes September 2019

VCNP-Shenandoah Region

September 2019 Meeting Minutes

September 19, 2019

In attendance:  Maria Circosta, Barbara Call, Monica Heck, Amy Graham, Erin Morris, Maretta Yoder, Sarah Stowell, Andrea Knopp, Kymber Beers, Rachel Talbot and Vicky Sullivan

Non-Members in attendance:  Julie Pierantoni RN-Diabetes educator

Meeting Location:  Montpelier Restaurant in Harrisonburg, VA

Meeting Topic:  Pharmacological Approaches to Type 2 Diabetes Mellitus Treatment

Speaker:  Joe Ogden:  Senior Medical Science Liaison for Sanofi

Business Meeting:  

  1. Discussion about full practice authority.
  • Discussion about residency issues and whether new NP’s should have requirements.
  • Discussion about on-line nurse practitioner programs.
  • Next Meeting:  11/21/2019:  Allison Chupp NP will discuss opening her own clinic.  Location:  Taste of Thai restaurant in Harrisonburg VA.  6 pm for social gathering with plans to start meeting and dinner at 6:30 PM. 

Respectively submitted.

Maretta Yoder, Secretary

Richmond Region 2019-2020

Greeting Richmond Region!

I am Kristen Johnson, the President for the Richmond Region. I noticed that our page was a little outdated, so I wanted to update the Richmond Region about the 2019 year and what is to come for 2020!

The Richmond Region started out the year with a complimentary continuing education event on January 10, 2019.  It was presented by Christina Wilson, MS, RN, WHNP-BC, PhD candidate and Rachel Cloutier, MS, RN, ACNP-BC.  The topic that was covered was Genetic Screening in Hereditary Cancers for the Primary Care Provider.  Rachel has severed in various positions on the Richmond Region board and continues to serve.  She works at the VCU school of nursing and in oncology at VCU Massey Cancer Center.   She is in school for her DNP.  Christina also works in oncology and volunteers at the fan free clinic.  She is a PhD candidate and has served as the Public Relations chair on the Richmond Region Board.  Our next dinner meeting was sponsored by Abbvie and was held on February 25, 2019.  On March 20th, 2019 another continuing education event was held for its region’s members.  This counted towards one continuing education credit.  The topic was the opioid epidemic and alleviating pain presented by Cathy A. Harrison DNAP, MSN, CRNA.   She currently practices in a dental office in Midlothian and previously served in the Navy.  In order to provide events like theses to our members, we rely on our nurse planners.  Debbie Dellinger graciously volunteered as the nurse planner for both continuing education events.   Debbie has served on the Richmond Region board in the past and continues to volunteer her time  for VCNP.  Our next meeting will be held on April 23, 2019 and will be sponsored by Amgen.  For the first time,  we will be offering a suturing work-shop.  This will be held on May 4, 2019 at the VCU School of Nursing.  There will be a fee.  More information to come!  Please save the date for our annual Pharmacology Symposium on October 19, 2019!  Please see below up updates to our new board members.

On May 4, 2019 the Richmond Region VCNP partnered with VCU School Nursing to hold a suturing work-shop.  It provided participants with 4 continuing education hours.  Since we received positive feedback from this event, we are considering holding another work-shop in the future.

We would like to congratulate one of our newest members on obtaining Autonomous practice!

Here is his story!

Life experiences frequently guide our path unwittingly. My grandmother who I thought the world of had Alzheimer’s many years ago during my RN program.   Advocacy for the underserved, voiceless and sometimes forgotten has been my career path.  After working in family practice as a NP I started in long-term care, post-acute and assisted living settings and they became my passion. When Virginia passed the autonomous practice licensure for nurse practitioners, it was an obvious direction for me, allowing the continuation of the path I’d started a long time ago. For me, practicing as an autonomous NP ensures the geriatric population, unable to care for themselves, has consistent and reliable care.

Jeremy G. Kellems, MSN, NP-C

The Richmond Region partnered with the Alzheimer’s Association of Richmond to provide continuing education to it’s members on June 19, 2019. The topic of dementia was covered including 10 things that providers need to know about dementia.

UBS financial services sponsored a dinner meeting on June 26, 2019.

We would like to highlight the following member’s accomplishments!

Debbie Dellinger has been a member of VCNP since 2009. She graduated with her Masters in 2012 and served as President elect on the VCNP board, Richmond region through past president from 2015-2017. She has done an excellent job as chairperson of the Richmond region VCNP Pharmacology symposium in 2016. She is currently serving as co-chair of the state VCNP Education Committee. She has been a staunch supporter of the full practice policy being launched in Virginia. She has mentored many new NPs, helping them to grow in their careers and been a role model to many. She presents classes nationally on web sites through the VA and in the Richmond region for continuing education credit for members of VCNP.  Debbie obtained her Autonomous Practice licensure!  

Christina Marie Wilson, WHNP from the Richmond region who recently graduated from Virginia Commonwealth University with her PhD in Nursing. Her research focuses on the clinical issues of body image, sexuality, and sexual functioning in women with gynecologic cancer.

The Richmond Region held a dinner meeting on August 13, 2019 at Tarrant’s West.  The sponsor was Virginia Interventional & Vascular Associates.  Dr. Doherty spoke on Uterine Fibroid embolization, varicose veins and pelvic congestion. 

The Richmond Region held a dinner meeting on September 5, 2019.   It was sponsored by Amgen.  Michael Bolognese, MD reviewed how to build bone and reduce fracture risk in high risk PMO patient’s with EVENITY.

We will hold a continuing education event on September 26, 2019.  The topic was pulmonary arterial hypertension, presented by Omar Minai, MD.

Our annual legislative reception will be held on October 3, 2019 at Bistro 27.

Please consider nominating a fellow VCNP member for one of the following awards:

 The Donna Campanella Distinguished Nurse Practitioner Award will go to a member who has demonstrated excellence and initiative in one or more of the following categories: Clinical Practice, Leadership, Research and/or contributions to VCNP at the local or state levels. 


The APRN NP student award for an Outstanding Nurse Practitioner Student  will go to a student member who shows a significant potential to be able to make a contribution to the role of nurse practitioners.  Nominees should demonstrate excellence and initiative in one or more of the following categories: clinical practice, leadership, research and/or contributions to VCNP at the local or state levels

Eligibility: All nominees must be a VCNP member and nominated by a VCNP member.  

Please send the nominees resume and letter of support to Samantha Taylor at by September 20, 2019. 

Winners will be announced at the Richmond Region’s Annual Pharmacology Symposium on October 19, 2019.  

Our annual pharmacology symposium will be held on October 19, 2019 at Lewis Ginter Botanical Gardens.   Registration is open.  Cost will be $85 for members and $135 for non-members.

We would like to recognize a Richmond Region Member for obtaining her autonomous practice licensure!
“Autonomous practice opens the door for true patient centered care. I believe nurse practitioners are healthcare changemakers. Our unique approach to healing invites the community to be fully engaged in their health. Autonomy, strength and resilience are the keys that unlock our limitless potential.”- Dana Burns DNP, FNP-BC

The Richmond Region held It legislative event on October 3, 2019.  Approximately 70 nurses attended this event.  Senators attending this event, Senator Siobhan Dunnavant representing district 12 and Senator Ryan McDougle representing district 4.  Delegates attended, Delegate Hyland (Buddy) Fowler representing house district 55 and delegate Dawn Adams representing house district 68.  Senate candidates Stan Scott for district 4 and Joe Morrissey for district 16.  Delegate candidates included Amanda Pohl for district 11, Larry Barnett for district 27, Carrie Coyner for district 62, Morgan Goodman for district 55, Juanita Jo Matkins for district 56,  Sheila Bynum-Coleman for district 66, Kevin Washington for district 97 and Scott Wyatt for district 97.    

The Richmond Region held its annual pharmacology symposium on October 19, 2019,  it was held at Lewis Ginter Botanical Gardens.   Topics included antibiotics presented by Dr. Markley, heart failure presented by Dr. Dube, Ketamine for the treatment of refractory depression, presented by Dr. Oliver, polypharmacy in the elderly, presented by Dr. Turbedies, biologics presented by Mandy Gatesman, Pharm D and gastrointestinal disorders presented by Mary Kathleen Engelken NP.  We had a guest speaker, Delegate Dr. Dawn Adams.  She reinforced the importance of eligible nurse practitioners obtaining autonomous practice licensure.  Shelly Smith and Cindy Fagan were available and answered numerous questions that arose throughout the day. We had 125 nurse practitioners attend this year.  We presented Rachel Cloutier with the Donna Campanella distinguished NP award.   We thank this year’s sponsors were Coram, Summit medical billing solutions, Otsuka, VCU School of Nursing, Salix pharmaceuticals and Novartis.   I would like to send a special thanks to the pharmacology planning committee that helped me plan this year’s Symposium.  Leah Loomis, Rachel Cloutier, Helen Willis, Debbie Dellinger, Samantha Taylor, Brittney Toms, Christina Wilson, Jack Weisskohl and Molly Sandel.

The Richmond Region partnered with local merchants to offer nurse practitioners discounts and specials during Nurse Practitioner Week at local restaurants (Bistro 27 & Tarrant’s West)), breweries (Fine Creek), Spas (Luminous Skin Care and Wellness) and South River Compounding Pharmacy.    

Events and Conferences

2021 VCNP Annual Conference
3/10/2021 - 3/13/2021