Individual provider Active NPI

Christopher Michael Hedrick

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1528611340
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177903 Issued in VA
Practice address
816 Independence Blvd Ste 100
Virginia Beach, VA 23455-6010
Phone
(757) 363-6800
Fax
(757) 507-9023
NPI assigned
Jul 21, 2019
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177903 VA Primary

Addresses

Primary practice location

816 Independence Blvd Ste 100
Virginia Beach, VA 23455-6010

Mailing address

816 Independence Blvd Ste 100
Virginia Beach, VA 23455-6010
Phone (757) 363-6800

Other practice location 1

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100 ext. 3782

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
I20191018002441 VA Practitioner - Nurse Practitioner 6002147253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

816 Industrial Ave
Suite 100
Chesapeake, VA 23324-2615
Phone (757) 233-9055

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jul 26, 2021 Accepting new patients
Urology of Virginia, PLLC CurrentSince Sep 3, 2019 Accepting new patients
Urology of Virginia, PLLC CurrentSince Sep 3, 2019 Accepting new patients

Locations

816 Industrial Ave
Ste 100
Chesapeake, VA 23324
Phone (757) 233-9055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

816 Independence Blvd
Ste 100
Virginia Beach, VA 23455
Phone (757) 363-6800

Organizations & group practices 3

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 1

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": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1528611340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6800",
            "fax_number": "757-507-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6800",
            "fax_number": "757-507-9023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Clearfield Ave",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621815",
            "country_code": "US",
            "telephone_number": "757-457-5100 x3782",
            "fax_number": "757-961-3696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.