Individual provider Active NPI

Jenea Danielle Bennett-Talley, FNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1790266401
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176509 Issued in VA
Practice address
1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone
(757) 252-3050
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24047 TN
Family Nurse Practitioner 363LF0000X 0024176509 VA Primary

Addresses

Primary practice location

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884

Mailing address

6804 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 636-3918

Other practice location 1

6804 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 636-3918

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
I20181128001003 VA Practitioner - Nurse Practitioner 0244574507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Virginia Beach, VA 23464
Phone (757) 252-3050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Mar 1, 2025 Accepting new patients
CMH Physician Services, LLC CurrentSince Oct 8, 2018 Accepting new patients
CMH Physician Services, LLC CurrentSince Oct 8, 2018 Accepting new patients
Alive Health & Wellness Family CurrentSince Sep 24, 2023 Accepting new patients
Neighborhood Nurse Family Past Accepting new patients

Locations

200 E 5th St
Chase City, VA 23924
Phone (434) 372-0900

61 Burlington Dr
Clarksville, VA 23927
Phone (434) 374-2773

6804 Woodlake Commons Loop
Midlothian, VA 23112
Phone (804) 636-3918

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

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

1300 Sentara Park
#3
Virginia Beach, VA 23464
Phone (757) 252-3050

1300 Sentara Park
Ste 3
Virginia Beach, VA 23464

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.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1790266401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 WOODLAKE COMMONS LOOP",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122281",
            "telephone_number": "804-636-3918",
            "fax_number": "804-331-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK # 3",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884",
            "telephone_number": "757-252-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6804 Woodlake Commons Loop",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122281",
            "country_code": "US",
            "telephone_number": "804-636-3918",
            "fax_number": "804-331-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT-TALLEY",
        "first_name": "JENEA",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.