Individual provider Active NPI

Robert Jay Masters, FNP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1164402996
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166128 Issued in VA
Practice address
5630 Lowery Rd
Norfolk, VA 23502-2233
Phone
(757) 455-5009
Fax
(757) 362-3577
NPI assigned
Jan 18, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166128 VA Primary
Dermatology Physician 207N00000X 0024166128 VA

Addresses

Primary practice location

5630 Lowery Rd
Norfolk, VA 23502-2233

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

12695 McManus Blvd Ste 4A-B
Newport News, VA 23602-4435
Phone (757) 369-0439

Other practice location 2

241 Corporate Blvd
Suite 215
Norfolk, VA 23502-4975
Phone (757) 455-5009

Other practice location 3

1035 Champions Way Ste 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

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
I20070314000046 VA Practitioner - Nurse Practitioner 5890898761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, LLC Dermatology CurrentSince May 1, 2018 Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

12695 McManus Blvd
Bldg 4A
Newport News, VA 23602
Phone (757) 369-0439

12695 McManus Blvd
Ste 4AB
Newport News, VA 23602
Phone (757) 369-0439

5630 Lowery Rd
Norfolk, VA 23502
Phone (757) 394-1540

1035 Champions Way
Ste 100
Suffolk, VA 23435
Phone (757) 394-1540

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1164402996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 LOWERY RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022233",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12695 McManus Blvd Ste 4A-B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024435",
            "country_code": "US",
            "telephone_number": "757-369-0439",
            "fax_number": "757-369-0513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Corporate Blvd",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024975",
            "country_code": "US",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Champions Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353762",
            "country_code": "US",
            "telephone_number": "757-967-0790",
            "fax_number": "757-967-0793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166128",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0024166128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.