Individual provider Active NPI

Nina Dennis, NP

  • Acute Care Nurse Practitioner
  • Keswick, VA
National Provider Identifier
1083581086
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024194989 Issued in VA
Practice address
3465 Carroll Creek Rd
Keswick, VA 22947-9216
Phone
(757) 395-7775
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024194989 VA Primary

Addresses

Primary practice location

3465 Carroll Creek Rd
Keswick, VA 22947-9216

Mailing address

3465 Carroll Creek Rd
Keswick, VA 22947-9216
Phone (757) 395-7775

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
I20260126001071 VA Practitioner - Nurse Practitioner 3779060348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rapha Medical Center LLCGroup PAC ID 7618327081, 8 clinicians

Practice addresses (Care Compare)

600 Peter Jefferson Pkwy
Charlottesville, VA 22911-8835
Phone (434) 249-9752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024194989VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Medical Center LLC Acute Care CurrentSince Nov 1, 2025 Accepting new patients
Rapha Medical Psych Services PastSince Jun 8, 2025 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 100
Charlottesville, VA 22911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1083581086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 CARROLL CREEK RD",
            "city": "KESWICK",
            "state": "VA",
            "postal_code": "229479216",
            "telephone_number": "757-395-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 CARROLL CREEK RD",
            "city": "KESWICK",
            "state": "VA",
            "postal_code": "229479216",
            "telephone_number": "757-395-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "NINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024194989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keswick, VA

Sources for this page

Verify at the official NPI Registry.