Individual provider Active NPI

Adeline Magha Ndipisiri, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1063171650
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182986 Issued in VA
Practice address
4243 White Cap CRST
Chesapeake, VA 23321-3256
Phone
(757) 401-8424
NPI assigned
Dec 11, 2021
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182986 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024182986 VA Primary

Addresses

Primary practice location

4243 White Cap CRST
Chesapeake, VA 23321-3256

Mailing address

4243 White Cap CRST
Chesapeake, VA 23321-3256
Phone (757) 401-8424

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
I20250429003812 VA Practitioner - Nurse Practitioner 2769908052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024182986VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Tidewater Community Mental CurrentSince Feb 28, 2025 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 297-6746

1801 S Church St
Ste 6
Smithfield, VA 23430

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-2222

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1063171650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 WHITE CAP CRST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213256",
            "telephone_number": "757-401-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 WHITE CAP CRST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213256",
            "telephone_number": "757-401-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIPISIRI",
        "first_name": "ADELINE",
        "middle_name": "MAGHA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182986",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.