Angela Marie Allen, PMHNP-BC, FNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Smithfield, VA

NPI 1821481995 · NPPES record last updated Sep 23, 2020

Key facts

NPI
1821481995
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
0024172426 (VA)
Practice address
1801 S Church St Ste 2
Smithfield, VA 23430-1858
Phone
(757) 793-9483
NPI assigned
Mar 12, 2015
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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Focused Psychiatric and Mental Health Care Services, LLC (3 clinicians)

Practice addresses (Care Compare)

1801 S Church St
Suite 2
Smithfield, VA 23430-1858
Phone (757) 793-9483

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 IDStateProvider typePAC IDDetails
I20150514002935 VA Practitioner - Nurse Practitioner 8820318876 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Physical Therapy, LLC Current
since Aug 25, 2020
Accepting new patients
Focused Psychiatric and Mental Health Care Services, LLC Psychiatric/Mental Health Current
since Apr 1, 2020
Accepting new patients
Mid Atlantic Long Term Specialty Care LLC Psychiatric/Mental Health Current
since Oct 1, 2020
Accepting new patients
Charis Mental Health, PLLC Family Current
since Jun 1, 2018
Accepting new patients

Locations

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

1801 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 509-1725

2470 Pruden Blvd
Suffolk, VA 23434
Phone (757) 922-8046

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172426 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172426 VA Yes

Addresses

Primary practice location

1801 S Church St Ste 2
Smithfield, VA 23430-1858

Mailing address

1801 S Church St Ste 2
Smithfield, VA 23430-1858
Phone (757) 793-9483

Other providers in Smithfield, VA

All providers in Smithfield, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia

Sources for this page

Verify at the official NPI Registry.