Individual provider Active NPI

Melissa Mae Irwin

  • Psychiatric/Mental Health Nurse Practitioner
  • Poquoson, VA
National Provider Identifier
1891564555
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024189073 Issued in VA
Practice address
20 Thomas Dr
Poquoson, VA 23662-1722
Phone
(276) 229-7351
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024189073 VA Primary

Addresses

Primary practice location

20 Thomas Dr
Poquoson, VA 23662-1722

Mailing address

20 Thomas Dr
Poquoson, VA 23662-1722
Phone (276) 229-7351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240206004761 VA Practitioner - Nurse Practitioner 3577906551 Reassigns benefits to 2 organizations
I20241231000672 DC Practitioner - Nurse Practitioner 3577906551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Inc CurrentSince Dec 23, 2023 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Aug 15, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 22, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1891564555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 THOMAS DR",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621722",
            "telephone_number": "276-229-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 THOMAS DR",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621722",
            "telephone_number": "276-229-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poquoson, VA

Sources for this page

Verify at the official NPI Registry.