Individual provider Active NPI

Jennifer Rebecca Derby, D.O.

  • Family Medicine Physician
  • Hampton, VA
National Provider Identifier
1033290804
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205703 Issued in VA
Practice address
9 Manhattan SQ Ste a
Hampton, VA 23666-6262
Phone
(757) 838-6335
Fax
(757) 838-0612
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 0102205703 VA Primary

Addresses

Primary practice location

9 Manhattan SQ Ste a
Hampton, VA 23666-6262

Mailing address

9 Manhattan SQ Ste a
Hampton, VA 23666-6262
Phone (757) 838-6335

Other practice location 1

13892 Timber Way
Broadway, VA 22815-3332
Phone (540) 901-0800

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
I20200107003365 VA Practitioner - Family Practice 3274840160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Speech and Language Center PLLCGroup PAC ID 7911182654, 12 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1591 Port Republic Rd
Harrisonburg, VA 22801-3517

9 Manhattan SQ
Suite a
Hampton, VA 23666-6262
Phone (757) 838-6335

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Newport News, VA, CCN 497294
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jan 20, 2020 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Aug 24, 2025 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 20, 2020 Accepting new patients

Locations

13892 Timber Way
Broadway, VA 22815
Phone (540) 901-0800

9 Manhattan Sq
Ste A
Hampton, VA 23666
Phone (757) 838-6335

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

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

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: jennifer.derby.p1@direct.hfpractice.nextgenshare.com
  • Direct secure messaging: jderby1071119@direct.sentara.net

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.

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1033290804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MANHATTAN SQ STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666262",
            "telephone_number": "757-838-6335",
            "fax_number": "757-838-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MANHATTAN SQ STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666262",
            "telephone_number": "757-838-6335",
            "fax_number": "757-838-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13892 Timber Way",
            "address_purpose": "LOCATION",
            "city": "Broadway",
            "state": "VA",
            "postal_code": "228153332",
            "country_code": "US",
            "telephone_number": "540-901-0800",
            "fax_number": "757-578-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERBY",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.