Individual provider Active NPI

Racquel T Fung, NP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1811545510
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177920 Issued in VA
Practice address
580 City Center Blvd Ste 3
Newport News, VA 23606-1880
Phone
(844) 893-0012
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 0024177920 VA Primary

Addresses

Primary practice location

580 City Center Blvd Ste 3
Newport News, VA 23606-1880

Mailing address

352 W Northfield Blvd Ste 3
Murfreesboro, TN 37129-1539
Phone (844) 893-0012

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
I20200818001478 VA Practitioner - Nurse Practitioner 8729404041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

6161 Kempsville Cir
Suite 205
Norfolk, VA 23502-3932
Phone (844) 893-0012

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
0024177920VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twelvestone Infusion Centers LLC Nurse Practitioner CurrentSince Aug 25, 2025 Accepting new patients
Peninsula ASC, LLC Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

580 City Center Blvd
Ste 3
Newport News, VA 23606
Phone (757) 782-4886

6161 Kempsville Cir
Ste 205
Norfolk, VA 23502

2965 Colonnade Dr
Ste 140
Roanoke, VA 24018
Phone (540) 400-8777

2965 Colonnade Dr
Fl 1
Roanoke, VA 24018

Organizations & group practices 3

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1811545510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 W NORTHFIELD BLVD STE 3",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291539",
            "telephone_number": "844-893-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CITY CENTER BLVD STE 3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061880",
            "telephone_number": "844-893-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "RACQUEL",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.