NPIMap

Individual provider Active NPI

Bernice Natalie Mucius-Penha, M.D.

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1568628527
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101249977 Issued in VA
Practice address
14024 Wiley Cir
Midlothian, VA 23114-5578
Phone
(516) 673-8554
Fax
(804) 818-2637
NPI assigned
Jul 30, 2008
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116020317 VA
Family Medicine Physician 207Q00000X 0101249977 VA Primary

Addresses

Primary practice location

14024 Wiley Cir
Midlothian, VA 23114-5578

Mailing address

14024 Wiley Cir
Midlothian, VA 23114-5578
Phone (516) 673-8554

Other practice location 1

6055 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 639-8145

Other practice location 2

2621 Promenade Pkwy Ste 101
Midlothian, VA 23113-4905
Phone (804) 897-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000042 VA Practitioner - Family Practice 5193994549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Midlothian, VA 23113
Phone (804) 639-8145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0116020317VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longevite Health and Wellness Family Medicine CurrentSince Oct 7, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6055 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 639-7777

Interoperability endpoints

  • Direct secure messaging: bernice.mucius-penha.1@13965.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13965/brand/1/csg/1/fhir/r4

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 11

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1568628527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 WILEY CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145578",
            "telephone_number": "516-673-8554",
            "fax_number": "804-818-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 WILEY CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145578",
            "telephone_number": "516-673-8554",
            "fax_number": "804-818-2637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6055 Harbour Park Dr",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "23112",
            "country_code": "US",
            "telephone_number": "804-639-8145",
            "fax_number": "804-818-2637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 Promenade Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231134905",
            "country_code": "US",
            "telephone_number": "804-897-3746",
            "fax_number": "804-897-3748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCIUS-PENHA",
        "first_name": "BERNICE",
        "middle_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2026-02-12",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116020317",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101249977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.