Tia Elaine Sexton
Individual provider Active NPI Family Nurse Practitioner · Bastian, VA
NPI 1376990937 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1376990937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024173546 (VA)
- Practice address
- 12301 Grapefield Rd
Bastian, VA 24314-4547 - Phone
- (276) 688-4331
- Fax
- (276) 688-4336
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bland County Medical Clinic Inc
Practice addresses (Care Compare)
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161010000926 | VA | Practitioner - Nurse Practitioner | 6608164512 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001189937 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients | |
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients | |
| Emergency Coverage Services, PC | Current |
Accepting new patients | |
| Emergency Physicians of Southern Virginia LLP | Current |
Accepting new patients |
Locations
12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626
8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Interoperability endpoints
- tia.sexton@bcmc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001189937 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024173546 | VA | Yes |
Addresses
Primary practice location
12301 Grapefield Rd
Bastian, VA 24314-4547
Mailing address
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (276) 688-4331
Other practice location 1
8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500
Other providers in Bastian, VA
- Lynn M. Patton
- Anna Lorie Pettrey
- RBM Opco of Bastian LLC
- Shyann Reynolds
- Samantha Dion Richardson
- April Bruner Simms
- Angela Stroupe
- True Blue Pharmacy Inc
- John Thomas Turski III
All providers in Bastian, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.