Individual provider Active NPI

Michelle M Eynon, NP

  • Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1427294552
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024167705 Issued in VA
Practice address
1101 Wilson Blvd FL 6
Arlington, VA 22209-2281
Phone
(888) 731-8994
Fax
(833) 775-1861
NPI assigned
Dec 19, 2008
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024167705 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024167705 VA
Women's Health Nurse Practitioner 363LW0102X 0024167705 VA

Addresses

Primary practice location

1101 Wilson Blvd FL 6
Arlington, VA 22209-2281

Mailing address

1101 Wilson Blvd FL 6
Arlington, VA 22209-2281

Other names 1

  • Michelle L Matthews Former name

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
I20130611000103 VA Practitioner - Nurse Practitioner 7517106289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Nurse Practitioner PLLCGroup PAC ID 7113329517, 8 clinicians

Practice addresses (Care Compare)

4360 Shore Dr
Suite 101
Virginia Beach, VA 23455-2994
Phone (757) 251-0879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167705VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC CurrentSince Feb 1, 2022 Accepting new patients
Sequoia Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince Jan 24, 2021 Accepting new patients
Your Nurse Practitioner PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC PastSince Apr 14, 2013 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

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

680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-2754

4360 Shore Dr
Ste 101
Virginia Beach, VA 23455
Phone (757) 251-0879

Interoperability endpoints

  • Direct secure messaging: michelle.eynon.1@27069.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1427294552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WILSON BLVD FL 6",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILSON BLVD FL 6",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092281",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYNON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167705",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024167705",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024167705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MATTHEWS",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.