Annalyn Rosas Abcede, PA
Individual provider Active NPI Physician Assistant · Chesapeake, VA
NPI 1821479544 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1821479544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110004979 (VA)
- Practice address
- 736 Battlefield Blvd N
Chesapeake, VA 23320-4941 - Phone
- (757) 490-9388
- Fax
- (757) 490-9401
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.16 of 100
- Quality
- 88.62
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150902003114 | VA | Practitioner - Physician Assistant | 8325354533 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004979 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Observation Medicine Specialists, P.C. | Current |
Accepting new patients | |
| Tidewater Emergency Medical Care | Physician Assistant | Past |
Accepting new patients |
| Open MRI of Fairview | Past | Accepting new patients |
Locations
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004979 | VA | Yes |
Addresses
Primary practice location
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Mailing address
109G Gainesborough SQ
Chesapeake, VA 23320
Phone (757) 490-9388
Other providers in Chesapeake, VA
- ABA Grateful Care VA LLC
- Maysoon Ababneh
- Gilbert R Abare
- Irtiza Ghulam Abbas
- Joseph J Abbott
- Abd Transportation and Consultation Services, LLC.
- Najah Abdelhak
- Samir Tawfik Abdelshaheed
- Rabiyah Amina Abdus-Salaam
- Muhammad Abdussalaam
All providers in Chesapeake, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.