NPIMap

Individual provider Active NPI

Agnieszka Ewa Petersen, MD

  • Pulmonary Disease Physician
  • Newport News, VA
National Provider Identifier
1467612291
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101257168 Issued in VA
Practice address
11838 Rock Landing Dr Ste 140
Newport News, VA 23606-4267
Phone
(757) 234-8770
Fax
(757) 232-8861
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101257168 VA Primary
Internal Medicine Physician 207R00000X 045072 CT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 045072 CT

Addresses

Primary practice location

11838 Rock Landing Dr Ste 140
Newport News, VA 23606-4267

Mailing address

11838 Rock Landing Dr Ste 140
Newport News, VA 23606-4267
Phone (757) 234-8770

Other names 1

  • Agnieszka Stanulewicz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Agnieszka.Petersen.p1@direct.tpmg.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224001472 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9032269469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11848 Rock Landing Dr
Newport News, VA 23606-4425

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45072CTMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2019 Accepting new patients
Tidewater Physicians Multispecialty Group PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Bayview Physician Services, PC CurrentSince Feb 1, 2015 Accepting new patients
Tidewater Physicians Multispecialty Group PC PastSince Dec 1, 2019 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

11848 Rock Landing Dr
Ste 402
Newport News, VA 23606
Phone (757) 234-8770

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

827 Diligence Dr
Ste 100
Newport News, VA 23606

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

1008 First Colonial Rd
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-2515

Interoperability endpoints

  • Direct secure messaging: agnieszka.petersen.p1@direct.tpmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1467612291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 ROCK LANDING DR STE 140",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064267",
            "telephone_number": "757-234-8770",
            "fax_number": "757-232-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 ROCK LANDING DR STE 140",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064267",
            "telephone_number": "757-234-8770",
            "fax_number": "757-232-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "AGNIESZKA",
        "middle_name": "EWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101257168",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045072",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "045072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Agnieszka.Petersen.p1@direct.tpmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "network",
            "address_1": "11848 Rock Landing Dr Ste 402",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AGNIESZKA",
            "last_name": "STANULEWICZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.