Active NPI
Sheeja Mole Kolencherry Augustine
- Nurse Practitioner
- Moseley, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024191443
- Practice address
- 5936 Sterlingworth Dr
Moseley, VA 23120-0049 - Phone
- (570) 702-7849
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
VA
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alexandria, VA
- NPI 1417680612
VA
-
- Pulmonary Disease Physician
- Suffolk, VA
- NPI 1982337242
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Healthcare of Central Virginia Inc
Practice addresses (Care Compare)
7101 Jahnke Rd
Suite 205
Richmond, VA 23225-4017
Phone (804) 483-0460
Hospital & facility affiliations
- CJW Medical Center
- John Randolph Medical Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241029003053 | VA | Practitioner - Nurse Practitioner | 8820521891 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024191443 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Pulmonary Group | Current | Accepting new patients | |
| Clark Alliance Services Inc | Current | Accepting new patients | |
| Clark Palliative Medicine Group | Current | Accepting new patients | |
| Columbia Healthcare of Central Virginia Inc | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2501 Parkers Ln
#4
Alexandria, VA 22306
2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020
500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020
500 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601
2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000
2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433
7101 Jahnke Rd
#205
Richmond, VA 23225
Phone (757) 716-3742
7101 Jahnke Rd
Ste 205
Richmond, VA 23225
3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 0024191443 | VA | |
| Nurse Practitioner | 363L00000X | 0024191443 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5936 Sterlingworth Dr
Moseley, VA 23120-0049
Mailing address
5936 Sterlingworth Dr
Moseley, VA 23120-0049
Phone (570) 702-7849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2024.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1801616941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 STERLINGWORTH DR",
"city": "MOSELEY",
"state": "VA",
"postal_code": "231200049",
"telephone_number": "570-702-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5936 STERLINGWORTH DR",
"city": "MOSELEY",
"state": "VA",
"postal_code": "231200049",
"telephone_number": "570-702-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLENCHERRY AUGUSTINE",
"first_name": "SHEEJA MOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "VA",
"license": "0024191443",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024191443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moseley, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.