Individual provider Active NPI

Natasha Rene Gallon, FNP-BC

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1295598068
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189397 Issued in VA
Practice address
12720 McManus Blvd Ste 303
Newport News, VA 23602-4414
Phone
(757) 947-3170
Fax
(757) 947-3169
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 0024189397 VA Primary

Addresses

Primary practice location

12720 McManus Blvd Ste 303
Newport News, VA 23602-4414

Mailing address

46 Red Robin Turn
Hampton, VA 23669-5915
Phone (305) 300-0354

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
I20240726003626 VA Practitioner - Nurse Practitioner 1658817523 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

12720 McManus Blvd
Newport News, VA 23602-4414
Phone (757) 947-3170

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

5838 Harbour View Blvd
Suffolk, VA 23435-2663

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

828 Healthy Way
Suite 220B
Virginia Beach, VA 23462-7958
Phone (757) 483-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jul 28, 2024 Accepting new patients
Alliance Medical Team LLC CurrentSince Dec 30, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

12720 McManus Blvd
Ste 303
Newport News, VA 23602
Phone (757) 947-3170

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

5838 Harbour View Blvd
Ste 240
Suffolk, VA 23435
Phone (757) 278-2220

828 Healthy Way
Ste 220B
Virginia Beach, VA 23462
Phone (757) 673-5860

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

Interoperability endpoints

  • Direct secure messaging: ngallon2649154@direct.bsmhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1295598068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RED ROBIN TURN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236695915",
            "telephone_number": "305-300-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLON",
        "first_name": "NATASHA",
        "middle_name": "RENE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.