Individual provider Active NPI

Andrea Dunn, MPA

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1689117947
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005491 Issued in VA
Practice address
4053 Taylor Rd
Suite N
Chesapeake, VA 23321-5537
Phone
(757) 484-5900
Fax
(757) 483-6671
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005491 VA Primary

Addresses

Primary practice location

4053 Taylor Rd
Suite N
Chesapeake, VA 23321-5537

Mailing address

4053 Taylor Rd
Suite N
Chesapeake, VA 23321-5537
Phone (757) 484-5900

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
I20170118002428 VA Practitioner - Physician Assistant 8426330978 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005491VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Oct 1, 2025 Accepting new patients
Pai Participant 1 LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
M Medical Group, Inc. CurrentSince Jun 26, 2023 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

4053 Taylor Rd
Ste N
Chesapeake, VA 23321
Phone (757) 484-5900

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

901 E Princess Anne Rd
Norfolk, VA 23504
Phone (757) 547-4528

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

4403 Forest Hill Ave
Richmond, VA 23225
Phone (804) 231-0231

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050

1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500

1801 Camelot Dr
Virginia Beach, VA 23454
Phone (757) 481-3500

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

112 N Constitution Dr
Yorktown, VA 23692
Phone (757) 890-0675

Organizations & group practices 5

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1689117947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-484-5900",
            "fax_number": "757-483-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "ANDREA",
        "credential": "MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.