Individual provider Active NPI

Chelsea Smith

  • Family Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1861119448
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185773 Issued in VA
Practice address
321 Poplar Dr Ste C
Petersburg, VA 23805-9391
Phone
(804) 733-5591
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 0001274243 VA
Family Nurse Practitioner 363LF0000X 0024185773 VA Primary

Addresses

Primary practice location

321 Poplar Dr Ste C
Petersburg, VA 23805-9391

Mailing address

321 Poplar Dr Ste C
Petersburg, VA 23805-9391

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
I20230504003048 VA Practitioner - Nurse Practitioner 7214392745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 Poplar Dr
Suite C
Petersburg, VA 23805-9391
Phone (804) 733-5591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001274243VAMDEmergency Registered Nurse
0024185773VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Mar 13, 2023 Accepting new patients
Central Virginia Health Services Inc CurrentSince Mar 13, 2023 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients
Central Virginia Health Services Inc PastSince Mar 6, 2022 Accepting new patients

Locations

8380 Boydton Plank Rd
Alberta, VA 23821
Phone (434) 949-7211

11814 King William Rd
Aylett, VA 23009
Phone (804) 769-3002

9950 Courthouse Rd
Charles City, VA 23030
Phone (804) 226-6383

1101 E Jefferson St
Ste 1
Charlottesville, VA 22902
Phone (434) 227-5624

800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624

2256 Irish Rd
Esmont, VA 22937
Phone (434) 286-3602

833 Buffalo St
Ste 200
Farmville, VA 23901
Phone (434) 392-8177

1965 Emancipation Hwy
Ste 100
Fredericksburg, VA 22401
Phone (540) 735-0560

400 S Mesa Dr
Hopewell, VA 23860
Phone (434) 210-0755

410 Industrial Dr
Louisa, VA 23093
Phone (540) 967-9401

18849 Kings Hwy
Montross, VA 22520
Phone (804) 493-1124

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

321 Poplar Dr
Ste C
Petersburg, VA 23805
Phone (804) 733-5591

3101 Johnson Rd
Petersburg, VA 23805
Phone (804) 861-4884

541 S Sycamore St
Petersburg, VA 23803
Phone (804) 835-6100

25 S Union St
Petersburg, VA 23803
Phone (804) 957-9601

4260 Crossings Blvd
Prince George, VA 23875
Phone (804) 452-5800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1861119448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 POPLAR DR STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 POPLAR DR STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059391",
            "telephone_number": "804-733-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "VA",
            "license": "0001274243",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.