Active NPI
Kasheika McNeill, NP
- Gerontology Nurse Practitioner
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024183398
- Practice address
- 1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383 - Phone
- (703) 492-6822
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95015949 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 11002390 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024183398 | VA | Primary |
Addresses
Primary practice location
1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383
Mailing address
1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383
Phone (703) 492-6822
Other practice location 1
502 Euclid Ave Ste 200
National City, CA 91950-2984
Phone (619) 434-4019
Other practice location 2
655 W 8th St
Jacksonville, FL 32209-6511
Phone (323) 300-8099
Other practice location 3
1990 Old Bridge Rd Ste 101
Woodbridge, VA 22192-2383
Phone (703) 492-6822
Other practice location 4
422 Garrisonville Rd Ste 104
Stafford, VA 22554-1573
Phone (540) 628-2173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Old Bridge Rd
Suite 201
Woodbridge, VA 22192-2383
Phone (703) 492-6822
Hospital & facility affiliations
- Mary Washington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.95 of 100
- Quality
- 93.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183398 | VA | MD | Gerontology Nurse Practitioner |
| 95015949 | CA | MD | Primary Care Nurse Practitioner |
| 11002390 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James River Cardiology, LLC | Single Specialty | Current | Accepting new patients |
| Brenton D. Wynn, MD Inc | Single Specialty | Current | Accepting new patients |
| Innovative Pain Management Medical Group | Single Specialty | Past | Accepting new patients |
Locations
502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019
333 W Harbor Dr
Ste 126
San Diego, CA 92101
445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834
422 Garrisonville Rd
Ste 104
Stafford, VA 22554
Phone (540) 288-8352
1990 Old Bridge Rd
Ste 101
Woodbridge, VA 22192
Phone (703) 212-6600
1990 Old Bridge Rd
Ste 201
Woodbridge, VA 22192
Interoperability endpoints
- kasheika.mcneill.1@31267.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Colonial Heights, VA
- NPI 1407157647
Single Specialty
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1598953960
Single Specialty
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1902330285
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1649817016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 OLD BRIDGE RD STE 201",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922383",
"telephone_number": "703-492-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 OLD BRIDGE RD STE 201",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922383",
"telephone_number": "703-492-6822"
}
],
"practiceLocations": [
{
"address_1": "502 Euclid Ave Ste 200",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919502984",
"country_code": "US",
"telephone_number": "619-434-4019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 W 8th St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096511",
"country_code": "US",
"telephone_number": "323-300-8099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1990 Old Bridge Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221922383",
"country_code": "US",
"telephone_number": "703-492-6822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "422 Garrisonville Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225541573",
"country_code": "US",
"telephone_number": "540-628-2173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEILL",
"first_name": "KASHEIKA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95015949",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "11002390",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024183398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.