Individual provider Active NPI

Sheri L Yeatts, PA-C

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1396974473
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003038 Issued in VA
Practice address
300 Medical Pkwy Ste 206
Chesapeake, VA 23320-4985
Phone
(757) 690-8990
Fax
(757) 198-6944
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05494 NC
Physician Assistant 363A00000X 0110003038 VA Primary

Addresses

Primary practice location

300 Medical Pkwy Ste 206
Chesapeake, VA 23320-4985

Mailing address

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

Other practice location 1

300 Medical Pkwy Ste 212
Chesapeake, VA 23320-4985
Phone (757) 547-0508

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
I20150629001734 VA Practitioner - Physician Assistant 1456663830 Reassigns benefits to 1 organization
I20190923002143 NC Practitioner - Physician Assistant 1456663830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
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)

300 Medical Pkwy
Chesapeake, VA 23320-4985

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05494NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Chesapeake Regional Medical Group Physician Assistant CurrentSince Jan 1, 2019 Accepting new patients
Atlantic Neurosurgery PC Past Accepting new patients

Locations

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

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

300 Medical Pkwy
Ste 206
Chesapeake, VA 23320
Phone (757) 547-9005

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

300 Medical Pkwy
Ste 212
Chesapeake, VA 23320
Phone (757) 547-0508

Interoperability endpoints

  • Direct secure messaging: sheri.yeatts.2@5072.direct.athenahealth.com
  • Direct secure messaging: syeatts1157076@direct.bsmhealth.org
  • Direct secure messaging: sheri.yeatts.3@5072.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1396974473",
    "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": "300 MEDICAL PKWY STE 206",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-690-8990",
            "fax_number": "757-198-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pkwy Ste 212",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-547-0508",
            "fax_number": "757-547-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEATTS",
        "first_name": "SHERI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05494",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.