Individual provider Active NPI

Relindis Nsofon Mutia, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1518453760
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024175930 Issued in VA
Practice address
3220 Academy Ave
Portsmouth, VA 23703-3203
Phone
(757) 338-7412
NPI assigned
Jul 10, 2018
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175930 VA
Family Nurse Practitioner 363LF0000X 0024175930 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024175930 VA Primary

Addresses

Primary practice location

3220 Academy Ave
Portsmouth, VA 23703-3203

Mailing address

3220 Academy Ave
Portsmouth, VA 23703-3203
Phone (757) 338-7412

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129003098 VA Practitioner - Nurse Practitioner 4880944412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paramount Health and Wellness PLLCGroup PAC ID 4981148145, 2 clinicians

Practice addresses (Care Compare)

3220 Academy Ave
Portsmouth, VA 23703-3203
Phone (757) 338-7412

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024175930VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Dec 26, 2023 Accepting new patients
Villagehealth DM LLC CurrentSince Jan 10, 2022 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 26, 2023 Accepting new patients
Paramount Health and Wellness PLLC Family CurrentSince May 15, 2024 Accepting new patients
Haven Residences LLC PastSince Oct 16, 2022 Accepting new patients

Locations

688 Kingsborough Sq
Chesapeake, VA 23320
Phone (757) 547-9111

901 E Princess Anne Rd
Norfolk, VA 23504
Phone (757) 547-4528

3220 Academy Ave
Portsmouth, VA 23703
Phone (757) 338-7412

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

740 Independence Cir
Virginia Beach, VA 23455
Phone (303) 405-2100

112 N Constitution Dr
Yorktown, VA 23692
Phone (757) 890-0675

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1518453760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033203",
            "telephone_number": "757-338-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033203",
            "telephone_number": "757-338-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSOFON MUTIA",
        "first_name": "RELINDIS",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175930",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175930",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.