Individual provider Active NPI

Nicole Yvette Powers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte Court House, VA
National Provider Identifier
1114588407
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177773 Issued in VA
Practice address
410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923-3787
Phone
(434) 542-5187
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177773 VA Primary

Addresses

Primary practice location

410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923-3787

Mailing address

410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923-3787
Phone (434) 542-5187

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
I20190926001861 VA Practitioner - Nurse Practitioner 4880924315 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Services BoardGroup PAC ID 4486649977, 20 clinicians

Practice addresses (Care Compare)

1507 Huguenot Rd
Midlothian, VA 23113-2485
Phone (800) 771-9811

161 Bush River Dr
Farmville, VA 23901-3183
Phone (434) 392-6455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177773VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians PC CurrentSince Sep 1, 2019 Accepting new patients
Powerful Minds Psychiatry Psychiatric/Mental Health CurrentSince Dec 16, 2025 Accepting new patients
Gods Creation Home Care LLC Current Accepting new patients
Crossroads Services Board CurrentSince Jul 15, 2023 Accepting new patients
Telemind Inc Psychiatric/Mental Health PastSince Oct 7, 2020 Accepting new patients
Vaught Christian Counseling PC Past Accepting new patients

Locations

9101 Washington St
Amelia Court House, VA 23002
Phone (804) 561-5057

410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923
Phone (434) 542-5187

1507 Huguenot Rd
Ste 204
Midlothian, VA 23113
Phone (800) 771-9811

2810 N Parham Rd
Ste 120
Richmond, VA 23294

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

2006 Bremo Rd
Ste 101
Richmond, VA 23226
Phone (804) 282-9425

Organizations & group practices 7

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1114588407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 THOMAS JEFFERSON HWY",
            "city": "CHARLOTTE COURT HOUSE",
            "state": "VA",
            "postal_code": "239233787",
            "telephone_number": "434-542-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 THOMAS JEFFERSON HWY",
            "city": "CHARLOTTE COURT HOUSE",
            "state": "VA",
            "postal_code": "239233787",
            "telephone_number": "434-542-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "NICOLE",
        "middle_name": "YVETTE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Court House, VA

Sources for this page

Verify at the official NPI Registry.