Individual provider Active NPI

Sherly Blessey Jacob, NP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1235654401
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175247 Issued in VA
Practice address
401 N 11TH St
Richmond, VA 23219-1901
Phone
(804) 628-4327
Fax
(804) 593-4276
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 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 0024175247 VA Primary

Addresses

Primary practice location

401 N 11TH St
Richmond, VA 23219-1901

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467

Other practice location 2

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-0240

Other practice location 3

2905 Boulevard
Colonial Heights, VA 23834-2400
Phone (804) 628-4327

Other practice location 4

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 628-4327

Other practice location 5

6605 W Broad St
Richmond, VA 23230-1714
Phone (804) 628-4327

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
I20180219000679 VA Practitioner - Nurse Practitioner 3577824382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175247VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Oct 13, 2024 Accepting new patients

Locations

2905 Boulevard
Colonial Hgts, VA 23834
Phone (804) 520-0040

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

6605 W Broad St
Richmond, VA 23230
Phone (804) 282-4827

1000 E Broad St
Richmond, VA 23219

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

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.

Hospital & facility affiliations 3

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1235654401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 11TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191901",
            "telephone_number": "804-628-4327",
            "fax_number": "804-593-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-828-8517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 Boulevard",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342400",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-526-6561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-998-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6605 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301714",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-956-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHERLY",
        "middle_name": "BLESSEY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.