Active NPI
Patina R Gillespie, FNP
- Nurse Practitioner
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024175902
- Practice address
- 263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674 - Phone
- (757) 941-5600
- NPI assigned
- Jul 27, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0017144717 | VA | |
| Nurse Practitioner | 363L00000X | 5007162 | NC | |
| Nurse Practitioner | 363L00000X | 0024175902 | VA | Primary |
Addresses
Primary practice location
263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674
Mailing address
PO Box 639295 Dept 93303
Cincinnati, OH 45263-9295
Phone (757) 941-5600
Other practice location 1
525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (866) 949-0108
Other practice location 2
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone (866) 949-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.23 of 100
- Quality
- 50.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017144717 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831
Interoperability endpoints
- ms_pgillesp@landmarkhealth-direct.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.
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1942531769
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NC, Nurse Practitioner
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1841546819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295 DEPT 93303",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "757-941-5600",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 MCLAWS CIR STE 105",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855674",
"telephone_number": "757-941-5600"
}
],
"practiceLocations": [
{
"address_1": "525 N Tryon St Ste 1600",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282020213",
"country_code": "US",
"telephone_number": "866-949-0108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Main St Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292013266",
"country_code": "US",
"telephone_number": "866-949-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLESPIE",
"first_name": "PATINA",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0017144717",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5007162",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024175902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.