Individual provider Active NPI

Patrice Pennyfeather, NP

  • Pediatric Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1275597767
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024165390 Issued in VA
Practice address
727 25TH St
Newport News, VA 23607-4601
Phone
(757) 316-5210
Fax
(757) 594-4257
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024165390 VA Primary

Addresses

Primary practice location

727 25TH St
Newport News, VA 23607-4601

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318

Other practice location 1

3401 W Mercury Blvd
Hampton, VA 23666-3704
Phone (757) 827-1940

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
I20050718000350 VA Practitioner - Nurse Practitioner 0244266633 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024165390VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services Inc CurrentSince May 19, 2022 Accepting new patients
Riverside Physician Services, Inc. CurrentSince May 19, 2022 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

3401 W Mercury Blvd
Hampton, VA 23666
Phone (757) 827-1940

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

727 25th St
Newport News, VA 23607
Phone (757) 316-5210

Interoperability endpoints

  • Direct secure messaging: ppennyfeather7779@direct.rivhs.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, 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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1275597767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 25TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074601",
            "telephone_number": "757-316-5210",
            "fax_number": "757-594-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 W Mercury Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236663704",
            "country_code": "US",
            "telephone_number": "757-827-1940",
            "fax_number": "757-896-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNYFEATHER",
        "first_name": "PATRICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024165390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.