Individual provider Active NPI

Anna Gyurjyan, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1073578811
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
0024165126 Issued in VA
Practice address
500 J. Clyde Morris Blvd
BLD G
Newport News, VA 23601
Phone
(757) 594-3636
Fax
(757) 594-4310
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024165126 VA Primary

Addresses

Primary practice location

500 J. Clyde Morris Blvd
BLD G
Newport News, VA 23601

Mailing address

PO Box 936
Norfolk, VA 23501-0936
Phone (757) 594-3636

Other identifiers 9

IdentifierTypeStateIssuer
7003878MedicaidNC
PAROtherVAUSA MANAGED CARE
PAROtherVAMULTIPLAN
03878OtherNCBC/BS NC
PAROtherVACORVEL/CORCARE
010354153MedicaidVA
10012548NOtherVASHP/OHP
-010OtherVATRICARE/CHAMPUS
PAROtherVAVIRGINIA PREMIER HEALTH

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
I20040709000578 VA Practitioner - Nurse Practitioner 6901884600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (757) 446-7900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024165126VAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation CurrentSince Dec 13, 2009 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Oct 5, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Oct 5, 2024 Accepting new patients

Locations

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

500 J Clyde Morris Blvd
Ste 300
Newport News, VA 23601
Phone (757) 612-7300

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

10852 Warwick Blvd
Newport News, VA 23601
Phone (757) 594-3602

606 Denbigh Blvd
#701
Newport News, VA 23608
Phone (804) 874-4040

825 Fairfax Ave
Ste 310
Norfolk, VA 23507
Phone (757) 446-7900

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

2075 Glenn Mitchell Dr
Ste 500
Virginia Beach, VA 23456
Phone (757) 446-7900

Organizations & group practices 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1073578811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-594-3636",
            "fax_number": "757-594-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J. CLYDE MORRIS BLVD",
            "address_2": "BLD G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23601",
            "telephone_number": "757-594-3636",
            "fax_number": "757-594-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYURJYAN",
        "first_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024165126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003878",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "03878",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010354153",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHP/OHP",
            "identifier": "10012548N",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-010",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.