Individual provider Active NPI

Renee L Mitchell, NP

  • Gerontology Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1861945164
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024173811 Issued in VA
Practice address
612 Kingsborough SQ
Ste 100
Chesapeake, VA 23320-5041
Phone
(757) 547-9342
Fax
(757) 213-9342
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173811 VA
Gerontology Nurse Practitioner 363LG0600X 0024173811 VA Primary

Addresses

Primary practice location

612 Kingsborough SQ
Ste 100
Chesapeake, VA 23320-5041

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone (757) 853-1380

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
I20160927001310 VA Practitioner - Nurse Practitioner 3173810637 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Williamsburg, VA 23185
Phone (757) 941-5600

Virginia Beach, VA 23462
Phone (757) 853-1380

Norfolk, VA 23502
Phone (757) 354-2885

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Norfolk, VA, CCN 497498
  • Equilibrio Home Health of Virginia Inc Home health agency, Virginia Beach, VA, CCN 497735
  • Westminster-Canterbury at Home, LLC Home health agency, Virginia Beach, VA, CCN 497682
  • Sentara Home Care Services-Virginia Beach Home health agency, Chesapeake, VA, CCN 497747
  • Centerwell Home Health (VA Beach) Home health agency, Virginia Beach, VA, CCN 497271

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Oct 1, 2024 Accepting new patients
Alliance Medical Team LLC CurrentSince Oct 24, 2025 Accepting new patients
Vpa PC CurrentSince Oct 1, 2024 Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 1, 2016 Accepting new patients
Joseph Forestiere MD LTD Current Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 1, 2016 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Gerontology CurrentSince Nov 18, 2019 Accepting new patients

Locations

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294

2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

Interoperability endpoints

  • Direct secure messaging: renee.mitchell@237407481626628.direct.elationemr.com

Organizations & group practices 8

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 5

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1861945164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 KINGSBOROUGH SQ",
            "address_2": "STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205041",
            "telephone_number": "757-547-9342",
            "fax_number": "757-213-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Clearfield Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621893",
            "country_code": "US",
            "telephone_number": "757-853-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RENEE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173811",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024173811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.