Individual provider Active NPI

Deadra Maxwell, CRNA

  • Certified Registered Nurse Anesthetist
  • Newport News, VA
National Provider Identifier
1760811004
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024171441 Issued in VA
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

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140404001788 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476785486 Reassigns benefits to 7 organizations
I20140416000046 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476785486

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
American Anesthesiology of Virginia PCGroup PAC ID 6800790023, 514 clinicians
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians
Hampton Roads Gastroenterology PCGroup PAC ID 5698755015, 10 clinicians

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 Hospital, Midlothian, VA, CCN 490136
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

Merit-based Incentive Payment System (MIPS)

Final score
76.68 of 100Reported as group
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

LicenseStateTypeSpecialty
0001129491VAMDCritical Care Medicine Registered Nurse
0024171441VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Jun 15, 2021 Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Jun 28, 2020 Accepting new patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince May 16, 2022 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jun 15, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2017 Accepting new patients
Hampton Roads Gastroenterology, P.C. CurrentSince Jul 1, 2019 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Mar 28, 2018 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Jul 11, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 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

  • Direct secure messaging: deadra.maxwell.p1@direct.hrgastro.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

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.

Verify at the official NPI Registry.