Active NPI
Chelsea Smith
- Family Nurse Practitioner
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024185773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001274243 | VA | MD | Emergency Registered Nurse |
| 0024185773 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Health Services Inc | Current | Accepting new patients | |
| Central Virginia Health Services Inc | Current | 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 | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Petersburg, VA
- NPI 1134258601
-
- Federally Qualified Health Center (FQHC)
- Prince George, VA
- NPI 1902934680
-
- Federally Qualified Health Center (FQHC)
- Hopewell, VA
- NPI 1972264869
-
- Federally Qualified Health Center (FQHC)
- New Canton, VA
- NPI 1275512063
-
- Federally Qualified Health Center (FQHC)
- Fredericksburg, VA
- NPI 1730377706
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.