Individual provider Active NPI

Chantel Renee Buffalow, NP

  • Women's Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1073288379
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024179471 Issued in VA
Practice address
12200 Warwick Blvd Ste 510
Newport News, VA 23601-2548
Phone
(757) 534-5700
NPI assigned
Aug 10, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024179471 VA
Women's Health Nurse Practitioner 363LW0102X 0024179471 VA Primary

Addresses

Primary practice location

12200 Warwick Blvd Ste 510
Newport News, VA 23601-2548

Mailing address

12706 McManus Blvd
Newport News, VA 23602-4460
Phone (757) 874-2229

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
I20210830001141 VA Practitioner - Nurse Practitioner 1658776612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

5 Manhattan SQ
Hampton, VA 23666-5843
Phone (757) 534-5700

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024179471VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Aug 23, 2020 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Aug 23, 2020 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

5 Manhattan Sq
Hampton, VA 23666
Phone (757) 534-5700

12200 Warwick Blvd
Ste 510
Newport News, VA 23601
Phone (757) 534-5700

12706 McManus Blvd
Newport News, VA 23602
Phone (757) 874-2229

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

Organizations & group practices 6

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.

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1073288379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12706 MCMANUS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024460",
            "telephone_number": "757-874-2229",
            "fax_number": "757-874-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD STE 510",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012548",
            "telephone_number": "757-534-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFALOW",
        "first_name": "CHANTEL",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024179471",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024179471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.