Individual provider Active NPI

Patricia Keith Nelson, FNP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1780901132
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168736 Issued in VA
Practice address
6275 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2851
Phone
(757) 963-7729
Fax
(757) 470-5665
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 0024168736 VA Primary

Addresses

Primary practice location

6275 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2851

Mailing address

860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769

Other practice location 1

150 Kingsley Ln
Norfolk, VA 23505-4602
Phone (757) 889-5309

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
I20100820000467 VA Practitioner - Nurse Practitioner 6507990975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

301 Riverview Ave
Suite 700
Norfolk, VA 23510-1065
Phone (757) 252-9365

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024168736VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Dec 19, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 17, 2018 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 17, 2018 Accepting new patients
Cardiovascular Associates LTD Past Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients

Locations

1405 Kempsville Rd
Chesapeake, VA 23320
Phone (757) 232-8768

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

827 Diligence Dr
Ste 100
Newport News, VA 23606

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365

6275 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 222-0012

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 5

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 4

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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1780901132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-963-7729",
            "fax_number": "757-470-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Kingsley Ln",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235054602",
            "country_code": "US",
            "telephone_number": "757-889-5309",
            "fax_number": "757-889-5670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PATRICIA",
        "middle_name": "KEITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.