NPIMap

Individual provider Active NPI

Karen Sue Clarkson, FNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1114475456
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190593 Issued in VA
Practice address
3900 Hull Street Rd
Richmond, VA 23224-1714
Phone
(804) 292-7620
NPI assigned
Sep 15, 2016
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024190593 VA Primary
Family Nurse Practitioner 363LF0000X 64630 TN

Addresses

Primary practice location

3900 Hull Street Rd
Richmond, VA 23224-1714

Mailing address

PO Box 746871
Atlanta, GA 30374-6871
Phone (469) 727-6675

Other practice location 1

5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029

Other practice location 2

1800A Frederick Blvd
Portsmouth, VA 23707-4618
Phone (757) 337-6000

Other practice location 3

150 Duncan Rd
Buckeye, WV 24924-9037
Phone (304) 799-7400

Other names 1

  • Karen Sue Melton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190913001753 WV Practitioner - Nurse Practitioner 3577723733
I20241111003851 VA Practitioner - Nurse Practitioner 3577723733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-VA Physicians Group PLLCGroup PAC ID 3274994470, 18 clinicians

Practice addresses (Care Compare)

1800 A Frederick Blvd
Portsmouth, VA 23707-4618
Phone (757) 337-6000

3900 Hull St Rd
Richmond, VA 23224-1714
Phone (804) 292-7620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64630TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-VA Physicians Group PLLC CurrentSince Oct 28, 2024 Accepting new patients
Nova Physician Group PLLC CurrentSince Nov 3, 2024 Accepting new patients
NHC-Op L.P. PastSince Jan 16, 2012 Accepting new patients

Locations

6206 N Military Hwy
Ste H
Norfolk, VA 23518
Phone (757) 271-5282

1800 Frederick Blvd
Portsmouth, VA 23707
Phone (757) 393-1120

1800 Frederick Blvd
#A
Portsmouth, VA 23707
Phone (757) 337-6000

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

5246 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 913-7029

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1114475456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746871",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746871",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HULL STREET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232241714",
            "telephone_number": "804-292-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5246 Chamberlayne Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232272950",
            "country_code": "US",
            "telephone_number": "804-913-7029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800A Frederick Blvd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237074618",
            "country_code": "US",
            "telephone_number": "757-337-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Duncan Rd",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "WV",
            "postal_code": "249249037",
            "country_code": "US",
            "telephone_number": "304-799-7400",
            "fax_number": "304-799-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190593",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "64630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MELTON",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.