Active NPI
Deadra Maxwell, CRNA
- Certified Registered Nurse Anesthetist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024171441
- Practice address
- 500 J. Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1758 - Phone
- (757) 594-2000
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 0001129491 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024171441 | VA | Primary |
Addresses
Primary practice location
500 J. Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1758
Mailing address
3998 Fair Ridge Dr
Ste 300
Fairfax, VA 22033-2921
Phone (703) 766-9737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300
13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (516) 370-3858
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272
1602 Skipwith Rd
Henrico, VA 23229-5205
Phone (804) 289-4500
19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950
2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000
303 Butler Farm Rd
Suite 103
Hampton, VA 23666-1568
Phone (757) 826-3434
Hospital & facility affiliations
- Bon Secours St Francis Medical Center
- CJW Medical Center
- Mary Immaculate Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.68 of 100
- Quality
- 50.29
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 89.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001129491 | VA | MD | Critical Care Medicine Registered Nurse |
| 0024171441 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Virginia Gastroenterology Institute PC | Current | Accepting new patients | |
| Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hampton Roads Gastroenterology, P.C. | Current | Accepting new patients | |
| Virginia Anesthesia and Perioperative Care Specialists LLC | Current | Accepting new patients | |
| Dogwood Anesthesia Providers, LLC | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
303 Butler Farm Rd
Ste 103
Hampton, VA 23666
Phone (757) 826-3434
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260
215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818
3910 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 942-2566
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771
400 Sentara Cir
#200
Williamsburg, VA 23188
Phone (678) 690-7816
100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826
Interoperability endpoints
- deadra.maxwell.p1@direct.hrgastro.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
-
- Gastroenterology Physician
- Hampton, VA
- NPI 1871684563
-
- Anesthesiology Physician
- Woodbridge, VA
- NPI 1255986147
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newport News, VA
- NPI 1760417281
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Corporate Health Clinic/Center
- Suffolk, VA
- NPI 1881210805
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1003849381
Hospital
-
- General Acute Care Hospital
- Midlothian, VA
- NPI 1447212592
-
- Endocrinology, Diabetes & Metabolism Physician
- Colonial Heights, VA
- NPI 1518244854
Hospital
-
- Internal Medicine Physician
- Midlothian, VA
- NPI 1053698399
Hospital
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1497788806
Hospital
-
- Family Medicine Physician
- Chester, VA
- NPI 1801173141
Hospital
-
- Family Medicine Physician
- Powhatan, VA
- NPI 1891071965
Hospital
-
- Family Medicine Physician
- Richmond, VA
- NPI 1225265630
Hospital
-
- Hematology & Oncology Physician
- Midlothian, VA
- NPI 1649536764
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1760811004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-766-9737",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J. CLYDE MORRIS BLVD",
"address_2": "RIVERSIDE REGIONAL MEDICAL CENTER",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011758",
"telephone_number": "757-594-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "DEADRA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "VA",
"license": "0001129491",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024171441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.