NPIMap

Individual provider Active NPI

Shelly Lynn Satizabal, PA

  • Surgical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1306307731
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110006756 Issued in VA
Practice address
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone
(757) 490-4802
NPI assigned
Mar 28, 2019
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110006756 VA Primary

Addresses

Primary practice location

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784

Mailing address

3101 Coopers Arch
Virginia Beach, VA 23456-3457
Phone (619) 300-0166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000925 VA Practitioner - Physician Assistant 4183145055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLCGroup PAC ID 4789631011, 138 clinicians

Practice addresses (Care Compare)

5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jan 6, 2025 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

5716 Cleveland St
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8583

Organizations & group practices 2

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1306307731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 COOPERS ARCH",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563457",
            "telephone_number": "619-300-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATIZABAL",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110006756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.