Individual provider Active NPI

Vanessa Patel, AGACNP

  • Gerontology Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1902348121
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024174219 Issued in VA
Practice address
2420 Pemberton Rd
Richmond, VA 23233-2003
Phone
(804) 747-9200
NPI assigned
Nov 7, 2016
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024174219 VA
Gerontology Nurse Practitioner 363LG0600X 0024174219 VA Primary

Addresses

Primary practice location

2420 Pemberton Rd
Richmond, VA 23233-2003

Mailing address

9301 Rudders Point CV
Mechanicsville, VA 23116-2100
Phone (804) 513-2821

Other practice location 1

4300 Pouncey Tract Rd Ste H
Glen Allen, VA 23060-6007
Phone (804) 513-2821

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
I20170126000137 VA Practitioner - Nurse Practitioner 3971885096 Reassigns benefits to 6 organizations

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
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

2420 Pemberton Rd
Richmond, VA 23233-2003
Phone (804) 747-9200

2901 S Lynnhaven Rd
Suite 450
Virginia Beach, VA 23452-8524

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174219VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC CurrentSince Sep 12, 2017 Accepting new patients
M Medical Group, Inc. CurrentSince Jan 31, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Jan 31, 2025 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

11611 Robious Rd
Midlothian, VA 23113
Phone (804) 379-4771

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

2420 Pemberton Rd
Richmond, VA 23233
Phone (804) 254-5100

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7611 Forest Ave
Ste 320
Richmond, VA 23229
Phone (804) 237-7950

7611 Forest Ave
Ste 410
Richmond, VA 23229
Phone (804) 285-2965

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1902348121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 RUDDERS POINT CV",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162100",
            "telephone_number": "804-513-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 PEMBERTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232332003",
            "telephone_number": "804-747-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Pouncey Tract Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606007",
            "country_code": "US",
            "telephone_number": "804-513-2821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VANESSA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174219",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024174219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.