Individual provider Active NPI

Nellie Sue Chamblee, FNP-C

  • Family Nurse Practitioner
  • Colonial Heights, VA
National Provider Identifier
1508199860
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168452 Issued in VA
Practice address
445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone
(804) 520-1764
Fax
(804) 520-1764
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006518 NC
Family Nurse Practitioner 363LF0000X 0024168452 VA Primary

Addresses

Primary practice location

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990

Mailing address

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140129000997 NC Practitioner - Nurse Practitioner 2668515370 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians
Pinnacle Care PLLCGroup PAC ID 6608342001, 2 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247

8430 Rea Rd
Suite E
Charlotte, NC 28277-4231
Phone (270) 874-7161

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Washington, NC, CCN 347329
  • Albemarle Home Care and Hospice Home health agency, Elizabeth City, NC, CCN 347017
  • Sentara Home Care Services Home health agency, Elizabeth City, NC, CCN 347202
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006518NCMDFamily Nurse Practitioner
0024168452VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Value Care, LLC CurrentSince Oct 14, 2025 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus Wholehealth, PLLC Family CurrentSince Feb 1, 2024 Accepting new patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH Southeast, LLC CurrentSince Jan 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 15, 2022 Accepting new patients
Neurology Associates of Suffolk, PLLC PastSince Oct 1, 2019 Accepting new patients
Maryview Hospital Past Accepting new patients

Locations

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71433
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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 4

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1508199860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764",
            "fax_number": "804-520-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764",
            "fax_number": "804-520-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLEE",
        "first_name": "NELLIE",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-06-13",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.