Jimmy Wayne Spelts, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024182894 Issued in VA

Practice address

732 Eden Way N Ste E507
Chesapeake, VA 23320-2798

Phone

(757) 412-7840

NPI assigned

Oct 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Empowerment Counseling Center LLCGroup PAC ID 1557631652, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Empowerment Counseling Center LLC

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1538503750

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  Medicare reassignment NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1104423946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N STE 507",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-609-2726",
            "fax_number": "757-609-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N STE E507",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-412-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELTS",
        "first_name": "JIMMY",
        "middle_name": "WAYNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "UNKNOWN",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspelts19@su.edu",
            "affiliation": "N",
            "address_1": "29 Fairway Dr",
            "city": "Portsmouth",
            "state": "VA",
            "country_code": "US",
            "postal_code": "237011655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kim Speaks, RN
• Specialist in Infectious Diseases, LLC
• Speechequip Therapy Services, PLLC
• Tammy L Speerhas, FNP-C
• Sharon Spellman
• Jonathan William Spence, P.A.
• Lashuna Spence
• Yvonne Spence
• David D. Spencer, D.O
• Robert Blair Spencer, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.