Active NPI
Meagan Ethridge, NP
- Acute Care Nurse Practitioner
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 000001143958
- Practice address
- 5839 Harbor View Blvd Ste 100a
Suffolk, VA 23435-3797 - Phone
- (757) 397-4200
- NPI assigned
- Mar 11, 2025
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 000001143958 | VA | Primary |
Addresses
Primary practice location
5839 Harbor View Blvd Ste 100a
Suffolk, VA 23435-3797
Mailing address
5839 Harbour View Blvd Ste 100
Suffolk, VA 23435-3797
Phone (757) 397-4200
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5839 Harbor View Blvd
Suite 100
Suffolk, VA 23435-3797
Phone (757) 397-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000001143958 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Cancer Institute LLC | Current | Accepting new patients | |
| Peninsula Cancer Institute LLC | Past | Accepting new patients |
Locations
110 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 436-1492
110 Wimbledon Sq
Ste E1
Chesapeake, VA 23320
Phone (757) 436-2995
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
5839 Harbour View Blvd
Ste 100A
Suffolk, VA 23435
Phone (757) 397-4200
5839 Harbour View Blvd
Ste 100
Suffolk, VA 23435
Phone (757) 397-4200
1200 First Colonial Rd
Ste 204A
Virginia Beach, VA 23454
Phone (757) 363-8212
120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724
Interoperability endpoints
- methridge6734@direct.rivhs.com
Organizations & group practices 2
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.
-
dba Cancer Specialists of Tidewater
- Hematology & Oncology Physician
- Chesapeake, VA
- NPI 1710180120
-
dba Shore Cancer Institute
- Hematology & Oncology Physician
- Onancock, VA
- NPI 1710218664
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
dba Bon Secours Harbour View Medical Center
- General Acute Care Hospital
- Suffolk, VA
- NPI 1104658434
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1023817269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5839 HARBOUR VIEW BLVD STE 100",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353797",
"telephone_number": "757-397-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5839 HARBOR VIEW BLVD STE 100A",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353797",
"telephone_number": "757-397-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETHRIDGE",
"first_name": "MEAGAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "000001143958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.