Individual provider Active NPI

Nicole Sperlazza Robinson, PA

  • Physician Assistant
  • North Chesterfield, VA
National Provider Identifier
1063796258
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003691 Issued in VA
Practice address
1401 Johnston Willis Dr Ste 100
North Chesterfield, VA 23235-4730
Phone
(804) 330-7990
Fax
(804) 330-3541
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003691 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Dr Ste 100
North Chesterfield, VA 23235-4730

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 391-4171

Other practice location 1

10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235-4766
Phone (804) 348-2814

Other practice location 2

6130 Harbourside Centre Loop Ste 101
Midlothian, VA 23112-2104
Phone (804) 378-0394

Other practice location 3

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 391-4171

Other identifiers 1

IdentifierTypeStateIssuer
1063796258MedicaidVA

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
I20111213000730 VA Practitioner - Physician Assistant 6305011768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Cancer Institute IncorporatedGroup PAC ID 8628048378, 47 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 330-7990

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
58.64
Promoting interoperability
81
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated CurrentSince Jan 1, 2020 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Jan 1, 2020 Accepting new patients

Locations

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

10710 Midlothian Tpke
Ste 138
North Chesterfield, VA 23235
Phone (804) 330-4990

8007 Discovery Dr
Ste A
Richmond, VA 23229
Phone (804) 287-3000

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

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.

Hospital & facility affiliations 1

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1063796258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-330-7990",
            "fax_number": "804-330-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Midlothian Tpke Ste 138",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354766",
            "country_code": "US",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6130 Harbourside Centre Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122104",
            "country_code": "US",
            "telephone_number": "804-378-0394",
            "fax_number": "804-739-7649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7202 Glen Forest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263780",
            "country_code": "US",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NICOLE",
        "middle_name": "SPERLAZZA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063796258",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.