Individual provider Active NPI

Shaellyn K Zeviar, A-GNP-C

  • Gerontology Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1124805700
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024188002 Issued in VA
Practice address
5310 Twin Hickory Rd
Glen Allen, VA 23059-5783
Phone
(804) 441-9000
Fax
(804) 441-9001
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024188002 VA Primary

Addresses

Primary practice location

5310 Twin Hickory Rd
Glen Allen, VA 23059-5783

Mailing address

5310 Twin Hickory Rd
Glen Allen, VA 23059-5783
Phone (804) 441-9000

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
I20231109000297 VA Practitioner - Nurse Practitioner 2466809629 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
Group practices
Geriatric Associates of Richmond IncGroup PAC ID 4789026071, 22 clinicians
Melodys Consulting LLCGroup PAC ID 5092053694, 15 clinicians

Practice addresses (Care Compare)

5310 Twin Hickory Rd
Glen Allen, VA 23059-5783
Phone (804) 714-6291

9460 Amberdale Dr
Suite G2
North Chesterfield, VA 23236-1259
Phone (804) 728-2278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Melodys Consulting LLC CurrentSince Nov 1, 2025 Accepting new patients
Geriatric Associates of Richmond Inc CurrentSince Apr 6, 2024 Accepting new patients
Universal Health Corporation CurrentSince Oct 7, 2023 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2026 Accepting new patients
Express Med Urgent Care Center, Inc PastSince Apr 6, 2024 Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

5310 Twin Hickory Rd
Glen Allen, VA 23059
Phone (804) 360-4242

9460 Amberdale Dr
Ste G2
North Chesterfield, VA 23236
Phone (804) 728-2278

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Organizations & group practices 5

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1124805700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 TWIN HICKORY RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595783",
            "telephone_number": "804-441-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 TWIN HICKORY RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595783",
            "telephone_number": "804-441-9000",
            "fax_number": "804-441-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEVIAR",
        "first_name": "SHAELLYN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024188002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.