Individual provider Active NPI

Chantel Derise Dixon, FNP

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1730529892
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170962 Issued in VA
Practice address
661 Independence Pkwy Ste 120
Chesapeake, VA 23320-5114
Phone
(757) 547-0798
Fax
(757) 547-0145
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 0024170962 VA Primary

Addresses

Primary practice location

661 Independence Pkwy Ste 120
Chesapeake, VA 23320-5114

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

5701 Cleveland St Ste 100
Virginia Beach, VA 23462-1788
Phone (757) 547-0798

Other identifiers 1

IdentifierTypeStateIssuer
1730529892MedicaidVA

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
I20131008000783 VA Practitioner - Nurse Practitioner 5496989352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates VA, LLCGroup PAC ID 2466449228, 51 clinicians

Practice addresses (Care Compare)

5701 Cleveland St
Suite 100
Virginia Beach, VA 23462-1788
Phone (757) 547-0798

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024170962VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates VA, LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

661 Independence Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 547-0798

8640 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (703) 368-6819

5701 Cleveland St
Ste 100
Virginia Beach, VA 23462
Phone (757) 547-0798

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.

Hospital & facility affiliations 3

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1730529892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 INDEPENDENCE PKWY STE 120",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205114",
            "telephone_number": "757-547-0798",
            "fax_number": "757-547-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Cleveland St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621788",
            "country_code": "US",
            "telephone_number": "757-547-0798",
            "fax_number": "757-547-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CHANTEL",
        "middle_name": "DERISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730529892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.