Individual provider Active NPI

Erin M Deibel, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1194238576
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024175051 Issued in VA
Practice address
3974 Springfield Rd Ste a
Glen Allen, VA 23060-4119
Phone
(513) 405-7445
NPI assigned
Nov 8, 2017
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024175051 VA
Family Nurse Practitioner 363LF0000X 0024175051 VA
Nurse Practitioner 363L00000X 0024175051 VA
Adult Health Nurse Practitioner 363LA2200X 0024175051 VA Primary

Addresses

Primary practice location

3974 Springfield Rd Ste a
Glen Allen, VA 23060-4119

Mailing address

3974 Springfield Rd
Glen Allen, VA 23060-4119
Phone (804) 495-8661

Other identifiers 2

IdentifierTypeStateIssuer
0017144261OtherVASTATE OF VIRGINIA AUTHORIZATION TO PRESCRIBE
0024175051OtherVASTATE OF VIRGINIA BOARD OF NURSING

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
I20180105001407 VA Practitioner - Nurse Practitioner 1355600909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175051VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Breslin MD LLC Family CurrentSince Oct 2, 2024 Accepting new patients

Locations

3974 Springfield Rd
Glen Allen, VA 23060
Phone (804) 290-0200

3974 Springfield Rd
#A
Glen Allen, VA 23060
Phone (804) 495-8661

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1194238576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 SPRINGFIELD RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604119",
            "telephone_number": "804-495-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 SPRINGFIELD RD STE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604119",
            "telephone_number": "513-405-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIBEL",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175051",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175051",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024175051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VIRGINIA AUTHORIZATION TO PRESCRIBE",
            "identifier": "0017144261",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VIRGINIA BOARD OF NURSING",
            "identifier": "0024175051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.