Individual provider Active NPI

Rochelle Bailey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1346812153
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182196 Issued in VA
Practice address
1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303
Phone
(757) 603-4603
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024182196 VA Primary

Addresses

Primary practice location

1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303

Mailing address

1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303
Phone (757) 603-4603

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220519000166 VA Practitioner - Nurse Practitioner 0648657353 Reassigns benefits to 1 organization
I20241007000035 NC Practitioner - Nurse Practitioner 0648657353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abundant Life Partners LLCGroup PAC ID 6507142296, 38 clinicians

Practice addresses (Care Compare)

1315 Jamestown Rd
Suite 203
Williamsburg, VA 23185-3303
Phone (757) 603-4603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024182196VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Partners, LLC CurrentSince Mar 8, 2022 Accepting new patients
Holsan Behavioral Health CurrentSince Jul 18, 2024 Accepting new patients
Abundant Path LLC Psychiatric/Mental Health PastSince Sep 28, 2025 Accepting new patients
Sobriety & Suboxone Holistic Services Psychiatric/Mental Health PastSince Dec 1, 2021 Accepting new patients

Locations

4946 Windy Hill Dr
Ste A
Raleigh, NC 27609
Phone (336) 355-2142

1631 Midtown Pl
Ste 104110
Raleigh, NC 27609
Phone (336) 355-2142

1315 Jamestown Rd
Ste 203
Williamsburg, VA 23185

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.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1346812153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 JAMESTOWN RD STE 203",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853303",
            "telephone_number": "757-603-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 JAMESTOWN RD STE 203",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853303",
            "telephone_number": "757-603-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ROCHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.