Optima Health Plan
A Medicare group practice based in Richmond, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1658736186), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1658736186
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- VA
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230504003199 | VA | Part B Supplier - Clinic/Group Practice | 1396466066 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Optima Health Plan
- Family Medicine Physician
- Norfolk, VA
- NPI 1396466066
-
Optima Health Plan
- Family Medicine Physician
- Norfolk, VA
- NPI 1679294201
Practice locations
- Norfolk, VA1
- Harrisonburg, VA1
- Richmond, VA1
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (5).
-
Gara Ali Alsaadi, MD
- Psychiatry Physician
- Hampton, VA
- NPI 1710128707
-
Michael George Charles, M.D.
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1013982388
-
Amanda Lee Coyle, NP
- Family Nurse Practitioner
- Norfolk, VA
- NPI 1518075399
-
Chanell Tynealia Dorris, FNP-C
- Family Nurse Practitioner
- Virginia Beach, VA
- NPI 1740791078
-
Kurtis Scott Elward, M.D., M.P.H.
- Family Medicine Physician
- Charlottesville, VA
- NPI 1144225277
-
Christine Fasching Maphis, FNP-BC
- Family Nurse Practitioner
- Harrisonburg, VA
- NPI 1679832414
-
Luon Marie Fletcher, LPC
- Professional Counselor
- Virginia Beach, VA
- NPI 1528688652
-
Vanessa Peyton Fowlkes, FNP
- Family Nurse Practitioner
- Richmond, VA
- NPI 1467477273
-
Emily Thompson Huband, LCSW
- Clinical Social Worker
- North Chesterfield, VA
- NPI 1356173587
-
Sophonie Mirshama Jean Baptiste, CRNP, FNP-BC
- Family Nurse Practitioner
- Silver Spring, MD
- NPI 1134836828
-
Sherika Adrian Jones, FNP
- Family Nurse Practitioner
- Glen Allen, VA
- NPI 1891234886
-
Christopher Heatwole Moore, MSN, RN, FNP
- Family Nurse Practitioner
- Harrisonburg, VA
- NPI 1962474924
-
Desiree Raquel Outlaw, NP
- Family Nurse Practitioner
- Hampton, VA
- NPI 1790051910
-
Pamela Cruz Reiser, M.D.
- Family Medicine Physician
- Norfolk, VA
- NPI 1952720690
-
Latonya Demetria Russell, MD, MPH
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1679783609
-
Deborah Ann Walsh, FNP-BC
- Family Nurse Practitioner
- Norfolk, VA
- NPI 1255574612
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.