Individual provider Active NPI

Nicole Natalie Edwards-Hamilton, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1699348326
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190277 Issued in VA
Practice address
13821 Village Mill Dr
Midlothian, VA 23114-4314
Phone
(804) 564-6068
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN9473929 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190277 VA Primary

Addresses

Primary practice location

13821 Village Mill Dr
Midlothian, VA 23114-4314

Mailing address

7207 Veyan Way
North Chesterfield, VA 23237-2010
Phone (804) 833-8224

Other names 1

  • Dr. Nicole Natalie Edwards Hamilton Other 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
I20250318003647 VA Practitioner - Nurse Practitioner 4385166404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

10710 Midlothian Tpke
Suite 127
North Chesterfield, VA 23235-4776
Phone (804) 220-0903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9473929VAMDRegistered Nurse
0024190277VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Single Specialty CurrentSince Feb 11, 2025 Accepting new patients

Locations

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

10710 Midlothian Tpke
Ste 127
North Chesterfield, VA 23235
Phone (804) 220-0903

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.nicoleedwardshamilton@134000.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1699348326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 VEYAN WAY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232372010",
            "telephone_number": "804-833-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 VILLAGE MILL DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144314",
            "telephone_number": "804-564-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-HAMILTON",
        "first_name": "NICOLE",
        "middle_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "DNP PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "RN9473929",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "EDWARDS HAMILTON",
            "middle_name": "NATALIE",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.