Active NPI
Nicole Michelle Marshall, FNP
- Family Nurse Practitioner
- Gloucester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024182942
- Practice address
- 6031 Industrial Dr
Gloucester, VA 23061-3767 - Phone
- (804) 210-1368
- Fax
- (804) 684-3691
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182942 | VA | Primary |
Addresses
Primary practice location
6031 Industrial Dr
Gloucester, VA 23061-3767
Mailing address
6031 Industrial Dr
Gloucester, VA 23061-3767
Phone (804) 210-1368
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11848 Rock Landing Dr
Newport News, VA 23606-4425
2600 Compass Rd
Glenview, IL 60026-8001
704 Thimble Shoals Blvd
300A
Newport News, VA 23606-4554
Phone (757) 595-4300
860 Omni Blvd
Newport News, VA 23606-4430
Hospital & facility affiliations
- Medi Home Health Agency
- Enhabit Home Health (VA Beach)
- Commonwealth Home Care
- Mary Immaculate Hospital
- Riverside Regional Medical Center
- Sentara Careplex Hospital
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300
827 Diligence Dr
Ste 100
Newport News, VA 23606
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
11848 Rock Landing Dr
Ste 401
Newport News, VA 23606
Phone (757) 243-8550
11848 Rock Landing Dr
Ste 402
Newport News, VA 23606
Phone (757) 234-8770
860 Omni Blvd
Ste 128
Newport News, VA 23606
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chesapeake, VA
- NPI 1386277648
-
- Home Health Agency
- Virginia Beach, VA
- NPI 1184968026
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1427064310
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1295497709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 INDUSTRIAL DR",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613767",
"telephone_number": "804-210-1368",
"fax_number": "804-684-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6031 INDUSTRIAL DR",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613767",
"telephone_number": "804-210-1368",
"fax_number": "804-684-3691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "NICOLE",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.