Individual provider Active NPI

Nicole E. Roberts-Boyd, M. D.

  • Internal Medicine Physician
  • Chester, VA
National Provider Identifier
1700851763
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101102763 Issued in VA
Practice address
12101 S Chalkley Rd
Chester, VA 23831-3755
Phone
(804) 796-3636
NPI assigned
Feb 22, 2006
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101102763 VA Primary

Addresses

Primary practice location

12101 S Chalkley Rd
Chester, VA 23831-3755

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000765 VA Practitioner - Family Practice 7113194002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101102763VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Oct 2, 2000 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Oct 2, 2000 Accepting new patients

Locations

12101 S Chalkley Rd
Chester, VA 23831
Phone (804) 796-3636

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

5000 Cox Rd
Ste 100
Glen Allen, VA 23060
Phone (804) 822-4383

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

11020 Hull Street Rd
Midlothian, VA 23112
Phone (804) 744-6310

5486 Indian River Rd
Virginia Beach, VA 23464
Phone (757) 424-2490

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1700851763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 S CHALKLEY RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238313755",
            "telephone_number": "804-796-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-BOYD",
        "first_name": "NICOLE",
        "middle_name": "E.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101102763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12101 S Chalkley Rd",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238313755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.