Individual provider Active NPI

Shannon Ann Chase, FNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1306320759
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176432 Issued in VA
Practice address
1300 Wilkes Ridge Dr Ste 200
Richmond, VA 23233-7963
Phone
(804) 326-4448
Fax
(309) 326-4947
NPI assigned
Sep 21, 2018
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 0024176432 VA Primary

Addresses

Primary practice location

1300 Wilkes Ridge Dr Ste 200
Richmond, VA 23233-7963

Mailing address

12139 Purple Sage CT
Reston, VA 20194-5605

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
I20200429000429 VA Practitioner - Nurse Practitioner 1355771619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Dermatology PCGroup PAC ID 6204267651, 10 clinicians
Avenues Dermatology PLLCGroup PAC ID 1557370392, 3 clinicians

Practice addresses (Care Compare)

1300 Wilkes Ridge Dr
Suite 200
Richmond, VA 23233-7963
Phone (804) 326-4448

420 Libbie Ave
Richmond, VA 23226-2664
Phone (804) 288-4410

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024176432VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dermatology P.C. CurrentSince May 25, 2026 Accepting new patients
Avenues Dermatology PLLC CurrentSince Feb 22, 2020 Accepting new patients
Haymarket Pediatrics Past Accepting new patients

Locations

1300 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 326-4448

420 Libbie Ave
Richmond, VA 23226
Phone (804) 288-4410

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, 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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1306320759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 PURPLE SAGE CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201945605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WILKES RIDGE DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337963",
            "telephone_number": "804-326-4448",
            "fax_number": "309-326-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.