Individual provider Active NPI

Colleen Marie Illsley, NP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1063347128
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024197815 Issued in VA
Practice address
671 Hioaks Rd Ste B
Richmond, VA 23225-4072
Phone
(804) 272-5814
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024197815 VA Primary

Addresses

Primary practice location

671 Hioaks Rd Ste B
Richmond, VA 23225-4072

Mailing address

2307 Poates Dr
Henrico, VA 23228-3023
Phone (860) 387-9612

Other practice location 1

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2307 Poates Dr
Henrico, VA 23228-3023

671 Hioaks Rd
Suite B
Richmond, VA 23225-4072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Nephrology Associates, Inc. PastSince Aug 3, 2026 Accepting new patients

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": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1063347128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 POATES DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232283023",
            "telephone_number": "860-387-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254072",
            "telephone_number": "804-272-5814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Bremo Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261907",
            "country_code": "US",
            "telephone_number": "804-285-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILLSLEY",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024197815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.