Individual provider Active NPI

Ronnell Deanna Dawson

  • Family Nurse Practitioner
  • Yorktown, VA
National Provider Identifier
1801532155
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182977 Issued in VA
Practice address
3212 Hampton Hwy Ste B
Yorktown, VA 23693-4948
Phone
(757) 867-1047
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 0024182977 VA Primary

Addresses

Primary practice location

3212 Hampton Hwy Ste B
Yorktown, VA 23693-4948

Mailing address

2244 Executive Dr
Hampton, VA 23666-2430

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
I20221018003431 VA Practitioner - Nurse Practitioner 4688040520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

2244 Executive Dr
Hampton, VA 23666-2430
Phone (757) 827-1001

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024182977VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Wound Care Virginia PLLC CurrentSince Oct 21, 2024 Accepting new patients
Riverside Physician Services, Inc. CurrentSince May 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jul 7, 2022 Accepting new patients
Riverside Physician Services Inc CurrentSince May 1, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

225 Matlage Way
Unit 31
Sugar Land, TX 77487

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

8401 Mayland Dr
Ste V
Richmond, VA 23294
Phone (910) 803-3633

Interoperability endpoints

  • Direct secure messaging: rdawson201335@direct.rivhs.com

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 1

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1801532155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 HAMPTON HWY STE B",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934948",
            "telephone_number": "757-867-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "RONNELL",
        "middle_name": "DEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.