Individual provider Active NPI

Melissa Waddell, WHNP

  • Women's Health Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1386652675
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024166264 Issued in VA
Practice address
880 Kempsville Rd Ste 2200
Norfolk, VA 23502-3990
Phone
(757) 466-6350
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0024166264 VA
Women's Health Nurse Practitioner 363LW0102X 0024166264 VA Primary

Addresses

Primary practice location

880 Kempsville Rd Ste 2200
Norfolk, VA 23502-3990

Mailing address

3720 Holland Rd
Suite 101
Virginia Beach, VA 23452-2859
Phone (757) 463-1234

Other practice location 1

3720 Holland Rd
Suite 101
Virginia Beach, VA 23452-2859
Phone (757) 463-1234

Other identifiers 1

IdentifierTypeStateIssuer
010148936MedicaidVA

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
I20051013000234 VA Practitioner - Nurse Practitioner 5193759645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3720 Holland Rd
Suite 101
Virginia Beach, VA 23452-2859

53 7TH Ave
Hudson Falls, NY 12839-1044

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Obstetrics & Gynocology Specialist CurrentSince Nov 1, 2014 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Jan 4, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

300 Medical Pkwy
Ste 308
Chesapeake, VA 23320
Phone (757) 547-5446

880 Kempsville Rd
Ste 2200
Norfolk, VA 23502
Phone (757) 466-6350

880 Kempsville Rd
Ste 201
Norfolk, VA 23502
Phone (757) 461-3890

250 W Brambleton Ave
Ste 202
Norfolk, VA 23510
Phone (757) 965-9363

880 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 455-6479

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

3720 Holland Rd
Ste 101
Virginia Beach, VA 23452
Phone (757) 463-1234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5623/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melissa.waddell.1@22824.direct.athenahealth.com

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1386652675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 HOLLAND RD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522859",
            "telephone_number": "757-463-1234",
            "fax_number": "757-463-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 KEMPSVILLE RD STE 2200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023990",
            "telephone_number": "757-466-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Holland Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234522859",
            "country_code": "US",
            "telephone_number": "757-463-1234",
            "fax_number": "757-463-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0024166264",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024166264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010148936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.