NPIMap

Individual provider Active NPI

Vangel Orencia Quilon, NP

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1679090492
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174918 Issued in VA
Practice address
3235 Portsmouth Blvd
Portsmouth, VA 23701-3020
Phone
(757) 686-9300
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174918 VA Primary

Addresses

Primary practice location

3235 Portsmouth Blvd
Portsmouth, VA 23701-3020

Mailing address

5113 Eksdale CT
Virginia Beach, VA 23464-6219
Phone (757) 401-7747

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
I20180122001425 VA Practitioner - Nurse Practitioner 4284993106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Neurology and Sleep Center PLLCGroup PAC ID 6709123888, 6 clinicians
Talis Healthcare LLCGroup PAC ID 9234474552, 6 clinicians

Practice addresses (Care Compare)

501 Baylor CT
Suite 100
Chesapeake, VA 23320-3690
Phone (757) 991-0190

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Neurology and Sleep Center PLLC CurrentSince Jan 24, 2022 Accepting new patients
Talis Healthcare LLC CurrentSince Dec 1, 2022 Accepting new patients
Valustar Pharmacy LLC PastSince Oct 29, 2023 Accepting new patients
Sleepmed Hampton Roads LLC PastSince Nov 5, 2023 Accepting new patients

Locations

7501 Fannin St
Ste 900
Houston, TX 77054
Phone (844) 855-0101

501 Baylor Ct
Ste 100
Chesapeake, VA 23320
Phone (757) 991-0190

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19091/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vangel.quilon.1@19091.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1679090492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 EKSDALE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646219",
            "telephone_number": "757-401-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013020",
            "telephone_number": "757-686-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILON",
        "first_name": "VANGEL",
        "middle_name": "ORENCIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.