Individual provider Active NPI

Micah Montebell, FNP-C

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1144112301
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024193947 Issued in VA
Practice address
9545 Shore Dr
Norfolk, VA 23518-1711
Phone
(757) 785-4861
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024193947 VA Primary

Addresses

Primary practice location

9545 Shore Dr
Norfolk, VA 23518-1711

Mailing address

9545 Shore Dr
Norfolk, VA 23518-1711

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
I20251111001124 VA Practitioner - Nurse Practitioner 7911498613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Beach Urgent Care LLCGroup PAC ID 7719259571, 6 clinicians

Practice addresses (Care Compare)

9545 Shore Dr
Norfolk, VA 23518-1711
Phone (757) 785-4861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024193947VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Beach Urgent Care LLC CurrentSince Aug 23, 2025 Accepting new patients

Locations

9545 Shore Dr
Norfolk, VA 23518
Phone (757) 785-4861

Organizations & group practices 1

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1144112301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 SHORE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 SHORE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181711",
            "telephone_number": "757-785-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEBELL",
        "first_name": "MICAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.