Individual provider Active NPI

Alisha B. Kelly, CRNP

  • Adult Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1356461990
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
UP006842C Issued in PA
Practice address
111 Medical Pkwy FL 2
Chesapeake, VA 23320-0302
Phone
(757) 312-4047
Fax
(757) 410-0339
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X UP006842C PA Primary

Addresses

Primary practice location

111 Medical Pkwy FL 2
Chesapeake, VA 23320-0302

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

Other practice location 1

1138 N Road St
Elizabeth City, NC 27909-3353
Phone (757) 312-4047

Other practice location 2

596 Lynnhaven Pkwy Ste 102
Virginia Beach, VA 23452-7371
Phone (573) 124-0477

Other practice location 3

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-4047

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
I20250421000834 VA Practitioner - Nurse Practitioner 2961927116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047

300 Medical Pkwy
Chesapeake, VA 23320-4985

596 Lynnhaven Pkwy
Suite 102
Virginia Beach, VA 23452-7371
Phone (757) 622-8032

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102

744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
UP006842CPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Mar 9, 2025 Accepting new patients
Chesapeake Regional Medical Group Adult Health CurrentSince Mar 9, 2025 Accepting new patients

Locations

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

111 Medical Pkwy
#2
Chesapeake, VA 23320

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

596 Lynnhaven Pkwy
Ste 102
Virginia Beach, VA 23452
Phone (757) 622-8032

Interoperability endpoints

  • Direct secure messaging: alisha.kelly.1@5072.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1356461990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY FL 2",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093353",
            "country_code": "US",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "596 Lynnhaven Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527371",
            "country_code": "US",
            "telephone_number": "573-124-0477",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Battlefield Blvd N",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204941",
            "country_code": "US",
            "telephone_number": "757-312-4047",
            "fax_number": "757-410-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALISHA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP006842C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.