Active NPI
Rachel Kathryn Marie Mizell Ertel, PA-C
- Physician Assistant
- Gloucester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004699
- Practice address
- 5659 Parkway Dr Ste 100
Gloucester, VA 23061-3792 - Phone
- (804) 381-4361
- NPI assigned
- Mar 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-00331 | NC | |
| Physician Assistant | 363A00000X | 0110004699 | VA | Primary |
Addresses
Primary practice location
5659 Parkway Dr Ste 100
Gloucester, VA 23061-3792
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8899
Other practice location 2
5659 Parkway Dr Ste 100
Gloucester, VA 23061-3792
Phone (804) 210-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-00331 | Other | NC | NC MEDICAL PROVIDER |
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
- Physician Assistant
- Education
- University of Alabama School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1944 Centerville Tpke
Suite 100
Virginia Beach, VA 23464-6839
Phone (757) 362-9067
20209 Sentara Way
Carrollton, VA 23314-3573
Phone (757) 542-1100
4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140
5659 Pkwy Dr
Gloucester, VA 23061-3792
Phone (804) 210-1005
747 J Clyde Morris Blvd
Newport News, VA 23601-1538
Phone (757) 736-3680
Hospital & facility affiliations
- Riverside Walter Reed Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.94 of 100
- Quality
- 82.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Hampton Roads Otolaryngology Associates PLLC | Past | Accepting new patients | |
| Eastern Radiologists Inc | Past | Accepting new patients |
Locations
7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200
Interoperability endpoints
- rertel106666@direct.rivhs.com
- rertel1@hamptonroadsent.emadirect.md
Organizations & group practices 7
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.
-
- Otolaryngic Allergy Physician
- Hampton, VA
- NPI 1700939980
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Emergency Medicine Physician
- Williamsburg, VA
- NPI 1639418429
-
- Non-Pharmacy Dispensing Site
- Hampton, VA
- NPI 1053742031
-
- Diagnostic Radiology Physician
- Greenville, NC
- NPI 1215990171
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gloucester, VA
- NPI 1528162534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1003883687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5659 PARKWAY DR STE 100",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613792",
"telephone_number": "804-381-4361"
}
],
"practiceLocations": [
{
"address_1": "7519 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Gloucester",
"state": "VA",
"postal_code": "230614178",
"country_code": "US",
"telephone_number": "804-693-8899",
"fax_number": "804-693-8810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5659 Parkway Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Gloucester",
"state": "VA",
"postal_code": "230613792",
"country_code": "US",
"telephone_number": "804-210-1005",
"fax_number": "804-210-1009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERTEL",
"first_name": "RACHEL",
"middle_name": "KATHRYN MARIE MIZELL",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00331",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL PROVIDER",
"identifier": "0010-00331",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.