Active NPI
Carmen Michelle Stephenson, NP
- Acute Care Nurse Practitioner
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024192104
- Practice address
- 3640 High St Ste 2E
Portsmouth, VA 23707-3213 - Phone
- (757) 215-3565
- Fax
- (757) 397-8026
- NPI assigned
- Sep 30, 2024
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024192104 | VA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 1168767 | TX |
Addresses
Primary practice location
3640 High St Ste 2E
Portsmouth, VA 23707-3213
Mailing address
PO Box 639971
Cincinnati, OH 45263-9971
Other practice location 1
600 Gresham Dr Fl 5
Norfolk, VA 23507-1904
Phone (757) 388-3198
Other practice location 2
10611 Garland Rd Ste 201
Dallas, TX 75218-4806
Phone (214) 324-9301
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, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 W Jefferson St
Louisville, KY 40202-2881
824 N Military Hwy
Suite 100
Norfolk, VA 23502-3652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1168767 | TX | MD | Acute Care Nurse Practitioner |
| 0024192104 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Past | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263
600 Gresham Dr
Fl 5
Norfolk, VA 23507
Phone (757) 388-3198
Interoperability endpoints
- cstephenson1072983@direct.sentara.net
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1053139907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639971",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 HIGH ST STE 2E",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073213",
"telephone_number": "757-215-3565",
"fax_number": "757-397-8026"
}
],
"practiceLocations": [
{
"address_1": "600 Gresham Dr Fl 5",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-3198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10611 Garland Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752184806",
"country_code": "US",
"telephone_number": "214-324-9301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENSON",
"first_name": "CARMEN",
"middle_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024192104",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1168767",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.