Individual provider Active NPI

Michelle Millspaw, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1063249233
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191266 Issued in VA
Practice address
1916 Mogulbear CT
Virginia Beach, VA 23453-3620
Phone
(757) 615-8338
Fax
(757) 282-5944
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0105464-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TPAN4058 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 0024191266 VA Primary

Addresses

Primary practice location

1916 Mogulbear CT
Virginia Beach, VA 23453-3620

Mailing address

1916 Mogulbear CT
Virginia Beach, VA 23453-3620
Phone (757) 404-8678

Other practice location 1

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (757) 615-8338

Other practice location 2

1500 N Grant St Ste R
Denver, CO 80203-1859
Phone (757) 615-8338

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
I20250220000394 VA Practitioner - Nurse Practitioner 4688101231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Path to Serenity Mental Health, PLLCGroup PAC ID 4587141635, 2 clinicians

Practice addresses (Care Compare)

1500 N Grant St
Denver, CO 80203-1859
Phone (757) 404-8678

1916 Mogulbear CT
Virginia Beach, VA 23453-3620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Path to Serenity Mental Health, PLLC Multi-Specialty CurrentSince Oct 2, 2025 Accepting new patients

Locations

1500 N Grant St
Denver, CO 80203
Phone (719) 603-0942

Interoperability endpoints

  • Direct secure messaging: michelle.millspaw.1@31916.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1063249233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 MOGULBEAR CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533620",
            "telephone_number": "757-404-8678",
            "fax_number": "757-282-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 MOGULBEAR CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533620",
            "telephone_number": "757-615-8338",
            "fax_number": "757-282-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "757-615-8338",
            "fax_number": "757-282-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Grant St Ste R",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031859",
            "country_code": "US",
            "telephone_number": "757-615-8338",
            "fax_number": "757-282-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLSPAW",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0105464-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "TPAN4058",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.