Active NPI
Marcella Bowen, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024175576
- Practice address
- 809 Kent PL
Chesapeake, VA 23320-0768 - Phone
- (757) 426-0605
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024175576 | VA | Primary |
Addresses
Primary practice location
809 Kent PL
Chesapeake, VA 23320-0768
Mailing address
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone (757) 541-8390
Other practice location 1
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone (757) 541-8390
Other names 1
- Marcella Kennedy
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (757) 541-8390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grateful Mind Mental Health Services Inc | Current | Accepting new patients | |
| Coastal Counseling Center Inc | Current | Accepting new patients | |
| Ronald W. Atwood, M.D., P.C. | Past | Accepting new patients |
Locations
809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605
1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605
1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Chesapeake, VA
- NPI 1891470670
-
- Mental Health Counselor
- Chesapeake, VA
- NPI 1639264112
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1982637575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1003329020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 CROSSWAYS BLVD STE 250",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200218",
"telephone_number": "757-541-8390",
"fax_number": "484-328-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 KENT PL",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200768",
"telephone_number": "757-426-0605"
}
],
"practiceLocations": [
{
"address_1": "1545 Crossways Blvd Ste 250",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233200218",
"country_code": "US",
"telephone_number": "757-541-8390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "MARCELLA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024175576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCELLA",
"last_name": "KENNEDY",
"credential": "PMHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.