Lucelly Mosquera
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Newport News, VA
NPI 1225849474 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1225849474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0024195182 (VA)
- Practice address
- 11828 Fishing Point Dr Ste 102
Newport News, VA 23606-4500 - Phone
- (757) 746-2332
- NPI assigned
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Western Tidewater Community Mental
Practice addresses (Care Compare)
1000 Commercial LN
Suffolk, VA 23434-8148
Phone (757) 966-2805
7025 Harbour View Blvd
Suite 119
Suffolk, VA 23435-2762
Phone (757) 966-2805
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260507001321 | VA | Practitioner - Nurse Practitioner | 3870061807 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024195182 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 0024195182 | VA | Yes |
Addresses
Primary practice location
11828 Fishing Point Dr Ste 102
Newport News, VA 23606-4500
Mailing address
7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Phone (757) 966-2805
Other providers in Newport News, VA
- Jeffrey D Morrison
- Jennifer Morrison
- Clarke Jerome Morton
- Christian Wenger Mosemann
- Marisa Mosier
- Lloyreen Moss Fraser
- Alyssa Moss
- Carrie Renee Moss
- Motions of Serenity
- Stacie Mott
All providers in Newport News, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.