Gretchen Sapone, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001097 Issued in VA

Practice address

1253 Nimmo Pkwy Ste 110
Virginia Beach, VA 23456-7782

Phone

(757) 821-2088

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tidewater Psychotherapy ServicesGroup PAC ID 9335128305, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• Tidewater Psychotherapy Services

  • Social Worker
  • Virginia Beach, VA
  • NPI 1700830742
  Medicare reassignment Care Compare group
• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  Medicare reassignment NPD
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD
• Kyung U. Rhee MD

  • General Practice Physician
  • Virginia Beach, VA
  • NPI 1386812600
  NPD (past)
• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1487666178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HARMON ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23518",
            "telephone_number": "757-819-4616",
            "fax_number": "757-734-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NIMMO PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567782",
            "telephone_number": "757-821-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPONE",
        "first_name": "GRETCHEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-04-07",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estelito Moreno Santos Jr., DDS
• Stephanie L. Santos, DDS
• Carl Santti Jr, LCSW
• Marc D Sapalicio, LPTA
• Derek Anthony Sapone, R.PH.
• Sara Fortin, LLC
• Arianne Nicole Saragnese
• Sarah J McBride LLC
• Sarah T. Esparza, DDS, P.C.
• Stephanie Bryn Sarfan, PHYSICIAN ASSISTANT

• Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.

Verify at the official NPI Registry.