NPIMap

Individual provider Active NPI

Kelsey Bridget Mahoney Sayre

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1114544632
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007460 Issued in VA
Practice address
6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800
Phone
(757) 466-8683
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007460 VA Primary

Addresses

Primary practice location

6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800

Mailing address

1260 Hebden CV
Virginia Beach, VA 23452-4608
Phone (757) 615-3013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121003827 VA Practitioner - Physician Assistant 2567810054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Campbell Univ School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

2000 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 934-9395

Hospital & facility affiliations

  • Sentara Home Care Services-Suffolk Home health agency, Suffolk, VA, CCN 497746
  • Lake Prince at Home LLC Home health agency, Suffolk, VA, CCN 497763
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Dec 1, 2023 Accepting new patients
Bayview Physician Services, PC CurrentSince Dec 1, 2023 Accepting new patients
Bayview Medical Center, Inc PastSince Sep 23, 2024 Accepting new patients
The Doctor'S in, PC PastSince Jul 2, 2023 Accepting new patients

Locations

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

2000 Meade Pkwy
Ste 100
Suffolk, VA 23434
Phone (757) 934-9395

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3738/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1114544632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HEBDEN CV",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524608",
            "telephone_number": "757-615-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022800",
            "telephone_number": "757-466-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "KELSEY",
        "middle_name": "BRIDGET MAHONEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.