Individual provider Active NPI

Myka Lafrance, FNP

  • Family Nurse Practitioner
  • Gloucester, VA
National Provider Identifier
1851136337
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190535 Issued in VA
Practice address
7544 Medical Dr Ste B-1
Gloucester, VA 23061-4299
Phone
(804) 693-9037
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 0024190535 VA Primary

Addresses

Primary practice location

7544 Medical Dr Ste B-1
Gloucester, VA 23061-4299

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

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
I20241218003045 VA Practitioner - Nurse Practitioner 5890222665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Cancer Institute, LLCGroup PAC ID 8729031638, 30 clinicians

Practice addresses (Care Compare)

12100 Warwick Blvd
Suite 201
Newport News, VA 23601-2365
Phone (757) 534-5555

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024190535VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Cancer Institute LLC CurrentSince Jul 28, 2024 Accepting new patients
Peninsula Cancer Institute LLC Past Accepting new patients

Locations

7544 Medical Dr
Ste B
Gloucester, VA 23061
Phone (804) 693-4900

12100 Warwick Blvd
Ste 201B
Newport News, VA 23601
Phone (757) 534-5555

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

12100 Warwick Blvd
Ste 201
Newport News, VA 23601
Phone (757) 534-5555

120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724

Interoperability endpoints

  • Direct secure messaging: mlafrance240470@direct.rivhs.com

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1851136337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 MEDICAL DR STE B-1",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614299",
            "telephone_number": "804-693-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRANCE",
        "first_name": "MYKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

Verify at the official NPI Registry.