Active NPI
Nellie Sue Chamblee, FNP-C
- Family Nurse Practitioner
- Colonial Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168452
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Albemarle Home Care and Hospice
- Sentara Home Care Services
- Sentara Albemarle Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006518 | NC | MD | Family Nurse Practitioner |
| 0024168452 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Value Care, LLC | Current | Accepting new patients | |
| Eventus WH PLLC Care, LLC | Current | Accepting new patients | |
| Eventus Wholehealth, PLLC | Family | Current | Accepting new patients |
| Eventus Wholehealth Aco LLC | Current | Accepting new patients | |
| Eventus WH Southeast, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Neurology Associates of Suffolk, PLLC | Past | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71433
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1487494811
-
- Family Medicine Physician
- Concord, NC
- NPI 1548759392
-
- Adult Medicine Physician
- Charlotte, NC
- NPI 1891649190
-
- Family Medicine Physician
- Concord, NC
- NPI 1013680503
-
- Geriatric Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1023796307
-
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1639990658
-
- Orthopaedic Surgery Physician
- Suffolk, VA
- NPI 1831426204
-
- Neurology Physician
- Suffolk, VA
- NPI 1972838498
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Washington, NC
- NPI 1750318614
-
- Home Health Agency
- Elizabeth City, NC
- NPI 1588037980
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
-
- Home Health Agency
- Elizabeth City, NC
- NPI 1992745343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.