Individual provider Active NPI

Andrea L Conley, NP

  • Women's Health Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1417292996
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024170458 Issued in VA
Practice address
2117 Hartford Rd
Hampton, VA 23666-2408
Phone
(757) 722-7401
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024170458 VA Primary

Addresses

Primary practice location

2117 Hartford Rd
Hampton, VA 23666-2408

Mailing address

2117 Hartford Rd
Hampton, VA 23666-2408
Phone (757) 722-7401

Other practice location 1

704 Thimble Shoals Blvd Ste 500B
Newport News, VA 23606-4557
Phone (757) 877-0979

Other identifiers 1

IdentifierTypeStateIssuer
0024170458OtherVAVIRGINIA LICENSE

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
I20130613000543 VA Practitioner - Nurse Practitioner 9032358577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Postal Rd
Cleveland, OH 44181-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1475AKMDPharmacist
0024170458VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Nov 3, 2025 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

2117 Hartford Rd
Hampton, VA 23666
Phone (757) 722-7401

11842 Rock Landing Dr
Ste 115
Newport News, VA 23606
Phone (757) 595-9905

704 Thimble Shoals Blvd
Ste 500B
Newport News, VA 23606
Phone (757) 599-3436

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

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454

Interoperability endpoints

  • Direct secure messaging: andrea.conley.1@22824.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1417292996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662408",
            "telephone_number": "757-722-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662408",
            "telephone_number": "757-722-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Thimble Shoals Blvd Ste 500B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064557",
            "country_code": "US",
            "telephone_number": "757-877-0979",
            "fax_number": "757-877-9805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024170458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE",
            "identifier": "0024170458",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.