Individual provider Active NPI

Christina Michelle Wray McMillan, WHNP

  • Women's Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1669815957
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024170041 Issued in VA
Practice address
2865 Lynnhaven Dr Ste A4
Virginia Beach, VA 23451-1542
Phone
(757) 496-5000
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704234558 MI
Women's Health Nurse Practitioner 363LW0102X 0024170041 VA Primary

Addresses

Primary practice location

2865 Lynnhaven Dr Ste A4
Virginia Beach, VA 23451-1542

Mailing address

2865 Lynnhaven Dr Ste A4
Virginia Beach, VA 23451-1542

Other names 1

  • Christina Michelle Wray Former name

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
I20130830000461 VA Practitioner - Nurse Practitioner 4486897923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704234558MIMDWomen's Health Nurse Practitioner
0024170041VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 17, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC CurrentSince May 9, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 17, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

12706 McManus Blvd
Newport News, VA 23602
Phone (757) 874-2229

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

1120 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 481-2333

2865 Lynnhaven Dr
Ste A4
Virginia Beach, VA 23451
Phone (757) 496-5000

Interoperability endpoints

  • Direct secure messaging: christina.mcmillan.1@22824.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1669815957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 LYNNHAVEN DR STE A4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 LYNNHAVEN DR STE A4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511542",
            "telephone_number": "757-496-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELLE WRAY",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704234558",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024170041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "WRAY",
            "middle_name": "MICHELLE",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.