Individual provider Active NPI

Stephanie Chadwick, FNP-BC

  • Family Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1316774433
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191132 Issued in VA
Practice address
120 Kings Way Ste 2700
Williamsburg, VA 23185-2554
Phone
(757) 221-0110
NPI assigned
Sep 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 0024191132 VA Primary

Addresses

Primary practice location

120 Kings Way Ste 2700
Williamsburg, VA 23185-2554

Mailing address

120 Kings Way Ste 2200
Williamsburg, VA 23185-2507
Phone (757) 221-0110

Other practice location 1

850 Enterprise Pkwy Ste 2000
Hampton, VA 23666-6252
Phone (757) 534-6109

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
I20250130000236 VA Practitioner - Nurse Practitioner 5698204055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

120 Kings Way
Suite 2600
Williamsburg, VA 23185-2554
Phone (757) 345-0141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191132VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Dec 17, 2024 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

850 Enterprise Pkwy
Ste 2000
Hampton, VA 23666
Phone (757) 534-6109

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

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

120 Kings Way
Ste 2600
Williamsburg, VA 23185
Phone (757) 220-6823

120 Kings Way
Ste 2700
Williamsburg, VA 23185
Phone (757) 221-0110

120 Kings Way
Ste 2200
Williamsburg, VA 23185
Phone (757) 259-6500

Interoperability endpoints

  • Direct secure messaging: schadwick145157@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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1316774433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KINGS WAY STE 2200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852507",
            "telephone_number": "757-221-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KINGS WAY STE 2700",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852554",
            "telephone_number": "757-221-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Enterprise Pkwy Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666252",
            "country_code": "US",
            "telephone_number": "757-534-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.