Individual provider Active NPI

Jacqualynne Kynette McFarlane, MD

  • Obstetrics & Gynecology Physician
  • Norfolk, VA
National Provider Identifier
1821289182
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0116019396 Issued in VA
Practice address
6161 Kempsville Cir Ste 340
Norfolk, VA 23502-3950
Phone
(757) 395-4455
Fax
(757) 233-1792
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0116019396 VA Primary

Addresses

Primary practice location

6161 Kempsville Cir Ste 340
Norfolk, VA 23502-3950

Mailing address

6161 Kempsville Cir Ste 340
Norfolk, VA 23502-3950
Phone (757) 395-4455

Other identifiers 1

IdentifierTypeStateIssuer
VV8729AOtherVAMEDICARE PTAN NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000370 VA Practitioner - Obstetrics/Gynecology 2163694837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9294 Warwick Blvd
Newport News, VA 23607-1535
Phone (757) 223-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0116019396VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc CurrentSince Aug 22, 2024 Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince Aug 22, 2024 Accepting new patients
Peninsula Institute for Community Health Inc Current Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients
Diane LH Coltrin, MD PC Past Accepting new patients

Locations

490 Liberty St
Chesapeake, VA 23324
Phone (757) 228-1288

4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709

9294 Warwick Blvd
Newport News, VA 23607
Phone (757) 223-7001

15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400

1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643

104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437

Interoperability endpoints

  • Direct secure messaging: jacqualynnemcfarlane@ewcva.allscriptsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1821289182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 340",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023950",
            "telephone_number": "757-395-4455",
            "fax_number": "757-233-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 340",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023950",
            "telephone_number": "757-395-4455",
            "fax_number": "757-233-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLANE",
        "first_name": "JACQUALYNNE",
        "middle_name": "KYNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0116019396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "VV8729A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.