Individual provider Active NPI

Sheeja Mole Kolencherry Augustine

  • Nurse Practitioner
  • Moseley, VA
National Provider Identifier
1801616941
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024191443 Issued in VA
Practice address
5936 Sterlingworth Dr
Moseley, VA 23120-0049
Phone
(570) 702-7849
NPI assigned
Oct 14, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024191443 VA Primary
General Practice Registered Nurse 163WG0000X 0024191443 VA

Addresses

Primary practice location

5936 Sterlingworth Dr
Moseley, VA 23120-0049

Mailing address

5936 Sterlingworth Dr
Moseley, VA 23120-0049
Phone (570) 702-7849

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
I20241029003053 VA Practitioner - Nurse Practitioner 8820521891 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 9234118340, 34 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Suite 205
Richmond, VA 23225-4017
Phone (804) 483-0460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191443VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Palliative Medicine Group CurrentSince Oct 8, 2024 Accepting new patients
Columbia Healthcare of Central Virginia Inc CurrentSince Jun 30, 2025 Accepting new patients
Clark Alliance Services Inc CurrentSince Oct 8, 2024 Accepting new patients
Clark Pulmonary Group CurrentSince Oct 8, 2024 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

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 2

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": "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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024191443",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0024191443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moseley, VA

Sources for this page

Verify at the official NPI Registry.