Individual provider Active NPI

Rachel Kathryn Marie Mizell Ertel, PA-C

  • Physician Assistant
  • Gloucester, VA
National Provider Identifier
1003883687
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004699 Issued in VA
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

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0010-00331OtherNCNC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000476 VA Practitioner - Physician Assistant 4082624036 Reassigns benefits to 3 organizations

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
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

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 Hospital, Gloucester, VA, CCN 490130

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Sep 1, 2018 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 1, 2018 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

  • Direct secure messaging: rertel106666@direct.rivhs.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.