Active NPI
Haley Blackwell, NP
- Family Nurse Practitioner
- New Canton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024179727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Health Services Inc | Current | Accepting new patients | |
| Bon Secours Urgent Care LLC | Current | Accepting new patients | |
| Central Virginia Health Services Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Petersburg, VA
- NPI 1134258601
VA
-
- Federally Qualified Health Center (FQHC)
- Prince George, VA
- NPI 1902934680
-
- Federally Qualified Health Center (FQHC)
- Hopewell, VA
- NPI 1972264869
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
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
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.