Individual provider Active NPI

Dale-Marie Nekeisha McKie, DO

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1003310590
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206639 Issued in VA
Practice address
5516 Virginia Beach Blvd
Virginia Beach, VA 23462-5629
Phone
(757) 473-3969
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102206639 VA Primary

Addresses

Primary practice location

5516 Virginia Beach Blvd
Virginia Beach, VA 23462-5629

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (757) 473-3969

Other practice location 1

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-8512

Other practice location 2

213 River Walk Pkwy Ste 101
Chesapeake, VA 23320-6893
Phone (757) 983-1777

Other names 1

  • Dale-Marie Nekeisha Simpson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608000166 VA Practitioner - Family Practice 7214337682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

213 River Walk Pkwy
Chesapeake, VA 23320-6893
Phone (757) 983-1765

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102206639VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Center Virginia Beach LLC CurrentSince Jun 6, 2021 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Jul 1, 2021 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

213 River Walk Pkwy
Chesapeake, VA 23320
Phone (757) 983-1765

213 River Walk Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 983-1777

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

Interoperability endpoints

  • Direct secure messaging: dmckie867784@direct.sentara.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1003310590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "757-473-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625629",
            "telephone_number": "757-473-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-8512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 River Walk Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233206893",
            "country_code": "US",
            "telephone_number": "757-983-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIE",
        "first_name": "DALE-MARIE",
        "middle_name": "NEKEISHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE-MARIE",
            "last_name": "SIMPSON",
            "middle_name": "NEKEISHA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.