NPIMap

Individual provider Active NPI

Debra L Levin

  • Nurse Practitioner
  • Heathsville, VA
National Provider Identifier
1063969236
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173881 Issued in VA
Practice address
8152 Northumberland Hwy
Heathsville, VA 22473-3309
Phone
(804) 580-7200
Fax
(804) 580-7063
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Hospital LLC 14 clinicians

Practice addresses (Care Compare)

402 N Main St
Kilmarnock, VA 22482-3825
Phone (804) 435-2651

8152 Northumberland Hwy
Heathsville, VA 22473-3309
Phone (804) 580-7200

Hospital & facility affiliations

  • Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
  • Riverside Home Health Home health agency, Warsaw, VA, CCN 497025
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031001231 VA Practitioner - Nurse Practitioner 7012295744 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173881VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince May 12, 2019 Accepting new patients
Chesapeake Hospital LLC CurrentSince Dec 22, 2021 Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince May 12, 2019 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Chesapeake Hospital Corporation Past Accepting new patients

Locations

8152 Northumberland Hwy
Heathsville, VA 22473
Phone (804) 580-7200

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173881 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

8152 Northumberland Hwy
Heathsville, VA 22473-3309

Mailing address

8152 Northumberland Hwy
Heathsville, VA 22473-3309
Phone (804) 580-7200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
C05380OtherVAGROUP PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2016.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1063969236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 NORTHUMBERLAND HWY",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224733309",
            "telephone_number": "804-580-7200",
            "fax_number": "804-580-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 NORTHUMBERLAND HWY",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224733309",
            "telephone_number": "804-580-7200",
            "fax_number": "804-580-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DEBRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C05380",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heathsville, VA

Sources for this page

Verify at the official NPI Registry.