Individual provider Active NPI

Susan Elizabeth Ferrandino, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1265844880
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169720 Issued in VA
Practice address
1300 Sentara Park
3Rd Floor
Virginia Beach, VA 23464
Phone
(757) 252-3050
Fax
(757) 222-3106
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024169720 VA
Family Nurse Practitioner 363LF0000X 0024169720 VA Primary

Addresses

Primary practice location

1300 Sentara Park
3Rd Floor
Virginia Beach, VA 23464

Mailing address

1300 Sentara Park
3Rd Floor
Virginia Beach, VA 23464
Phone (757) 252-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160719001532 DC Practitioner - Nurse Practitioner 1557654225 Reassigns benefits to 2 organizations
I20160822001266 VA Practitioner - Nurse Practitioner 1557654225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

5460 Wesleyan Dr
Virginia Beach, VA 23455-6906
Phone (757) 252-3050

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169720VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 6, 2020 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 6, 2020 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Jun 27, 2016 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

2304 W Mercury Blvd
Hampton, VA 23666
Phone (757) 951-1579

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

7048 Mechanicsville Tpke
Mechanicsvlle, VA 23111
Phone (804) 357-4763

Interoperability endpoints

  • Direct secure messaging: susan.ferrandino.1@14940.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1265844880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK",
            "address_2": "3RD FLOOR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23464",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK",
            "address_2": "3RD FLOOR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23464",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRANDINO",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024169720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.