Individual provider Active NPI

Vernica Anderson, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1104368273
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187357 Issued in VA
Practice address
4663 Haygood Rd Ste 203
Virginia Beach, VA 23455-5442
Phone
(347) 856-4595
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 565088 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0024187357 VA Primary

Addresses

Primary practice location

4663 Haygood Rd Ste 203
Virginia Beach, VA 23455-5442

Mailing address

6470 Crescent Way Apt 301
Norfolk, VA 23513-1434

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
I20240724003667 VA Practitioner - Nurse Practitioner 1254877392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Psychiatric Services LLCGroup PAC ID 0840723557, 6 clinicians

Practice addresses (Care Compare)

903 W Broadway
Hopewell, VA 23860-2536
Phone (757) 373-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
565088NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hibiscus Integrative Health Family CurrentSince Oct 27, 2024 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Apr 25, 2024 Accepting new patients
Ascension Psychiatric Services LLC Single Specialty CurrentSince Feb 15, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

903 W Broadway
Hopewell, VA 23860
Phone (757) 373-1913

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

4663 Haygood Rd
Ste 203
Virginia Beach, VA 23455
Phone (347) 856-4595

Organizations & group practices 3

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1104368273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 CRESCENT WAY APT 301",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235131434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 HAYGOOD RD STE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555442",
            "telephone_number": "347-856-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VERNICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "565088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.