Individual provider Active NPI

Haley Blackwell, NP

  • Family Nurse Practitioner
  • New Canton, VA
National Provider Identifier
1831707421
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179727 Issued in VA
Practice address
25892 N James Madison Hwy
New Canton, VA 23123-2234
Phone
(434) 581-3271
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 0024179727 VA Primary

Addresses

Primary practice location

25892 N James Madison Hwy
New Canton, VA 23123-2234

Mailing address

25892 N James Madison Hwy
New Canton, VA 23123-2234

Other practice location 1

14426 Hull Street Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

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
I20200910001928 VA Practitioner - Nurse Practitioner 4880012681 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Aug 17, 2020 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Jun 2, 2025 Accepting new patients
Central Virginia Health Services Inc CurrentSince Aug 17, 2020 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients

Locations

14426 Hull Street Rd
Chesterfield, VA 23832
Phone (804) 887-8322

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Interoperability endpoints

  • Direct secure messaging: hblackwell2812216@direct.bsmhealth.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLC 125 clinicians

Practice addresses (Care Compare)

10 N Nansemond St
Richmond, VA 23221-2768
Phone (804) 877-8327

1149 Seminole TRL
Charlottesville, VA 22901-2897
Phone (434) 978-3998

14426 Hull St Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone (434) 244-3027

4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1831707421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25892 N JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231232234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25892 N JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231232234",
            "telephone_number": "434-581-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14426 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238322525",
            "country_code": "US",
            "telephone_number": "804-887-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "HALEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canton, VA

Sources for this page

Verify at the official NPI Registry.