NPIMap

Individual provider Active NPI

Rachel Anglin, PA-C

  • Medical Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1215420930
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4053 Taylor Rd Ste N
Chesapeake, VA 23321-5526
Phone
(757) 484-5900
Fax
(757) 483-6671
NPI assigned
Jun 7, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X VA Primary

Addresses

Primary practice location

4053 Taylor Rd Ste N
Chesapeake, VA 23321-5526

Mailing address

4053 Taylor Rd Ste N
Chesapeake, VA 23321-5526
Phone (757) 484-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001226 VA Practitioner - Physician Assistant 7113279324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

4053 Taylor Rd
Ste N
Chesapeake, VA 23321
Phone (757) 484-5900

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3636 High St
Fl 6
Portsmouth, VA 23707

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050

828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797

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.

Hospital & facility affiliations 11

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1215420930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD STE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215526",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD STE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215526",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.