Active NPI
Shauna J Polen, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024187787
- Practice address
- 555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789 - Phone
- (844) 863-4621
- Fax
- (757) 257-5143
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001247271 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024187787 | VA | Primary |
Addresses
Primary practice location
555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Mailing address
555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Phone (844) 863-4621
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321-5532
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Counseling Center Inc | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Ronald W. Atwood, M.D., P.C. | Past | Accepting new patients |
Locations
3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321
Phone (757) 414-6427
809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605
1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
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.
-
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
-
- Mental Health Counselor
- Chesapeake, VA
- NPI 1639264112
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1982637575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1457139792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BELAIRE AVE STE 350",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204789",
"telephone_number": "844-863-4621",
"fax_number": "757-257-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BELAIRE AVE STE 350",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204789",
"telephone_number": "844-863-4621",
"fax_number": "757-257-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLEN",
"first_name": "SHAUNA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001247271",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024187787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.