NPIMap

Individual provider Active NPI

Keisha Nicola Thigpen, PA-C

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1790279875
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5839 Harbour View Blvd
Suffolk, VA 23435-2659
Phone
(757) 483-6100
NPI assigned
Jun 21, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X VA Primary

Addresses

Primary practice location

5839 Harbour View Blvd
Suffolk, VA 23435-2659

Mailing address

3725 Shoreline Dr
Portsmouth, VA 23703-4035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120000615 VA Practitioner - Physician Assistant 8628322195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Suite 101
Chesapeake, VA 23320-1713
Phone (757) 436-3285

3009 Corporate LN
Suite 220
Suffolk, VA 23434-9344
Phone (757) 483-6100

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC Physician Assistant CurrentSince Jan 6, 2026 Accepting new patients
Capital Digestive Care, LLC CurrentSince Dec 16, 2021 Accepting new patients
Capital Digestive Care, LLC CurrentSince Dec 16, 2021 Accepting new patients

Locations

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone (757) 483-6100

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1790279875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 SHORELINE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352659",
            "telephone_number": "757-483-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIGPEN",
        "first_name": "KEISHA",
        "middle_name": "NICOLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.