Individual provider Active NPI

Anna Perron, FNP-C

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1396496360
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182392 Issued in VA
Practice address
3235 Academy Ave Ste 305
Portsmouth, VA 23703-3200
Phone
(757) 686-9300
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 0024182392 VA Primary

Addresses

Primary practice location

3235 Academy Ave Ste 305
Portsmouth, VA 23703-3200

Mailing address

5744 Susquehanna Dr
Virginia Beach, VA 23462-3928

Other practice location 1

5744 Susquehanna Dr
Virginia Beach, VA 23462-3928
Phone (434) 409-4819

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
I20220224000042 VA Practitioner - Nurse Practitioner 0345634903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Neurologists Inc PCGroup PAC ID 4688682875, 6 clinicians

Practice addresses (Care Compare)

3235 Academy Ave
Suite 305
Portsmouth, VA 23703-3200
Phone (757) 686-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024182392VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
Sleepmed Hampton Roads LLC CurrentSince Nov 5, 2023 Accepting new patients
Tidewater Neurologists Inc, PC CurrentSince Feb 21, 2022 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

300 Medical Pkwy
Ste 108
Chesapeake, VA 23320
Phone (757) 547-5805

2713 Neil Armstrong Pkwy
#G3
Hampton, VA 23666
Phone (757) 262-0390

2713 Neil Armstrong Pkwy
Ste G3
Hampton, VA 23666
Phone (757) 262-0390

3235 Academy Ave
Ste 305
Portsmouth, VA 23703
Phone (757) 686-3000

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

4480 Holland Office Park
Ste 225
Virginia Beach, VA 23452
Phone (757) 228-5801

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1396496360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 SUSQUEHANNA DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 305",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-686-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5744 Susquehanna Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623928",
            "country_code": "US",
            "telephone_number": "434-409-4819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRON",
        "first_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-03-03",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.