Individual provider Active NPI

Maria Karen Cabaccan Picardo, NP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1427501741
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173940 Issued in VA
Practice address
830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Phone
(757) 261-8070
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173940 VA Primary

Addresses

Primary practice location

830 Kempsville Rd FL 1
Norfolk, VA 23502-3920

Mailing address

830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Phone (757) 261-8070

Other practice location 1

5397 Hargrove Blvd
Virginia Beach, VA 23464-2353
Phone (757) 420-2860

Other practice location 2

249 S Newtown Rd
Norfolk, VA 23502-5718
Phone (757) 427-4700

Other practice location 3

715 Argyll St
Chesapeake, VA 23320-3105
Phone (757) 547-4528

Other names 1

  • Ms. Maria Karen Manaois Cabaccan Other 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
I20170331000352 VA Practitioner - Nurse Practitioner 8628353828 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173940VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Feb 6, 2024 Accepting new patients
Sentara Medical Group CurrentSince Feb 6, 2017 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince May 31, 2024 Accepting new patients
Sentara Medical Group PastSince Feb 6, 2017 Accepting new patients

Locations

715 Argyll St
Chesapeake, VA 23320
Phone (757) 547-4528

300 Medical Pkwy
Ste 222
Chesapeake, VA 23320
Phone (757) 436-5544

249 S Newtown Rd
Norfolk, VA 23502
Phone (757) 427-4700

301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070

830 Kempsville Rd
Rm 2B223
Norfolk, VA 23502
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 5

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 2

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1427501741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD FL 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD FL 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5397 Hargrove Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234642353",
            "country_code": "US",
            "telephone_number": "757-420-2860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 S Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235025718",
            "country_code": "US",
            "telephone_number": "757-427-4700",
            "fax_number": "757-427-4702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Argyll St",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203105",
            "country_code": "US",
            "telephone_number": "757-547-4528",
            "fax_number": "757-547-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICARDO",
        "first_name": "MARIA KAREN",
        "middle_name": "CABACCAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA KAREN",
            "last_name": "CABACCAN",
            "middle_name": "MANAOIS",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.