Individual provider Active NPI

Tina Watkins, NP, RN

  • Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1891140422
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173349 Issued in VA
Practice address
6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone
(757) 622-6315
Fax
(757) 622-7022
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173349 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945

Mailing address

6160 Kempsville Cir
Suite 200 a
Norfolk, VA 23502-3933
Phone (757) 625-0151

Other identifiers 1

IdentifierTypeStateIssuer
0017142738OtherVAAUTHORIZATION TO PRESCRIBE - NP

Other names 1

  • Tina Monroe Former name

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
I20161221000808 VA Practitioner - Nurse Practitioner 5395026819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pariser Dermatology Specialists LTDGroup PAC ID 7113902925, 33 clinicians

Practice addresses (Care Compare)

6160 Kempsville Cir
Suite 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
80.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173349VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pariser Dermatology Specialists LTD CurrentSince Oct 15, 2016 Accepting new patients

Locations

11842 Rock Landing Dr
Ste 120
Newport News, VA 23606
Phone (757) 595-8816

6160 Kempsville Cir
Ste 200A
Norfolk, VA 23502

1248 Perimeter Pkwy
Ste 482
Virginia Beach, VA 23454
Phone (757) 496-5085

Interoperability endpoints

  • Direct secure messaging: tinawatkins@pdsltd.allscriptsdirect.net

Organizations & group practices 1

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 1

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1891140422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "SUITE 200 A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-625-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "TINA",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO PRESCRIBE - NP",
            "identifier": "0017142738",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "MONROE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.