Individual provider Active NPI

Susan Kelly Gilbert, FNP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1326832908
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191485 Issued in VA
Practice address
856 J Clyde Morris Blvd Ste C
Newport News, VA 23601-1318
Phone
(757) 316-5725
Fax
(757) 594-3386
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 0024191485 VA Primary

Addresses

Primary practice location

856 J Clyde Morris Blvd Ste C
Newport News, VA 23601-1318

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

12100 Warwick Blvd Ste 201-B
Newport News, VA 23601-2365
Phone (757) 534-5555

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
I20250418001935 VA Practitioner - Nurse Practitioner 4688199961 Reassigns benefits to 2 organizations

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)

856 J Clyde Morris Blvd
Suite C
Newport News, VA 23601-1318
Phone (757) 316-5725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191485VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Apr 14, 2025 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Peninsula Cancer Institute LLC CurrentSince Apr 14, 2025 Accepting new patients
Peninsula Cancer Institute, LLC Past Accepting new patients
Peninsula Cancer Institute LLC Past Accepting new patients

Locations

12100 Warwick Blvd
Ste 201
Newport News, VA 23601
Phone (757) 534-5555

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

856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601
Phone (757) 316-5725

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

120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724

Interoperability endpoints

  • Direct secure messaging: kgilbert7575@direct.rivhs.com

Organizations & group practices 6

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 1

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1326832908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5725",
            "fax_number": "757-594-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12100 Warwick Blvd Ste 201-B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012365",
            "country_code": "US",
            "telephone_number": "757-534-5555",
            "fax_number": "757-534-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SUSAN",
        "middle_name": "KELLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.