Individual provider Active NPI

Beverly M. Patterson, D.N.P.

  • Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1124146626
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0017138081 Issued in VA
Practice address
901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249
Phone
(757) 825-2500
Fax
(757) 825-2521
NPI assigned
Mar 26, 2007
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0017138081 VA Primary

Addresses

Primary practice location

901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249

Mailing address

901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249
Phone (757) 825-2500

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
I20081201000712 VA Practitioner - Nurse Practitioner 9830250463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

901 Enterprise Pkwy
Suite 300
Hampton, VA 23666-6249
Phone (757) 825-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
82.83
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017138081VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Aug 8, 2014 Accepting new patients
Chesapeake Bay ENT PC PastSince May 1, 2007 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC PastSince Aug 8, 2014 Accepting new patients

Locations

5659 Parkway Dr
Ste 130
Gloucester, VA 23061
Phone (757) 873-0338

5659 Parkway Dr
Ste 240
Gloucester, VA 23061
Phone (757) 825-2500

901 Enterprise Pkwy
Ste 300
Hampton, VA 23666
Phone (757) 825-2500

Interoperability endpoints

  • Direct secure messaging: bpatterson@hamptonroadsent.emadirect.md

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1124146626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BEVERLY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "D.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017138081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.