Active NPI
Marylou M Weiss, NP
- Family Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1598730632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024030820
- Practice address
- 1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671 - Phone
- (757) 312-3132
- Fax
- (757) 312-6212
- NPI assigned
- Feb 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024030820 | VA | Primary |
Addresses
Primary practice location
1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671
Mailing address
667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481
Other practice location 1
850 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 466-5283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010132461 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041029000156 | VA | Practitioner - Nurse Practitioner | 0840252144 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.57 of 100
- Quality
- 87.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Life Care Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1093706806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1598730632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 KINGSBOROUGH SQ STE 101",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204999",
"telephone_number": "757-842-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 EXECUTIVE BLVD STE 200",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203671",
"telephone_number": "757-312-3132",
"fax_number": "757-312-6212"
}
],
"practiceLocations": [
{
"address_1": "850 Kempsville Rd",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235023920",
"country_code": "US",
"telephone_number": "757-466-5283",
"fax_number": "757-466-5849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "MARYLOU",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024030820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010132461",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.