NPIMap

Individual provider Active NPI

Marsha Nor Pascual Mansell, NP

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1598059065
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169317 Issued in VA
Practice address
4124 Chesapeake Square Blvd Ste 103
Chesapeake, VA 23321-2134
Phone
(757) 983-5100
Fax
(757) 673-8292
NPI assigned
Jun 2, 2011
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 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 1-139401 AL
Family Nurse Practitioner 363LF0000X 0024169317 VA Primary

Addresses

Primary practice location

4124 Chesapeake Square Blvd Ste 103
Chesapeake, VA 23321-2134

Mailing address

4124 Chesapeake Square Blvd Ste 103
Chesapeake, VA 23321-2134
Phone (757) 983-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110712000346 VA Practitioner - Nurse Practitioner 7517135825 Reassigns benefits to 1 organization
I20131104000750 AL Practitioner - Nurse Practitioner 7517135825 Reassigns benefits to 1 organization
I20170927002308 NC Practitioner - Nurse Practitioner 7517135825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
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)

4124 Chesapeake SQ Blvd
Suite 103
Chesapeake, VA 23321-2000
Phone (757) 983-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-139401ALMDFamily Nurse Practitioner
0024169317VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Dec 6, 2021 Accepting new patients
Franklin Primary Health Center, Inc CurrentSince Jul 1, 2015 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner Current Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 4, 2017 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 4, 2017 Accepting new patients
Franklin Primary Health Center Inc. Current Accepting new patients
Franklin Primary Health Center, Inc CurrentSince Jul 1, 2015 Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

3300 Executive Dr
Ste 301
Raleigh, NC 27609

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3100

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

Organizations & group practices 7

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1598059065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 CHESAPEAKE SQUARE BLVD STE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212134",
            "telephone_number": "757-983-5100",
            "fax_number": "757-673-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 CHESAPEAKE SQUARE BLVD STE 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212134",
            "telephone_number": "757-983-5100",
            "fax_number": "757-673-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSELL",
        "first_name": "MARSHA NOR",
        "middle_name": "PASCUAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.