Individual provider Active NPI

Danielle Nabers

  • Physician Assistant
  • Newport News, VA
National Provider Identifier
1912562406
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007021 Issued in VA
Practice address
101 Philip Roth St
Newport News, VA 23606-1393
Phone
(757) 599-6333
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007021 VA Primary

Addresses

Primary practice location

101 Philip Roth St
Newport News, VA 23606-1393

Mailing address

860 Omni Blvd Ste 111
Newport News, VA 23606-4430
Phone (757) 369-8138

Other practice location 1

850 Enterprise Pkwy Ste 2000
Hampton, VA 23666-6252
Phone (757) 599-6333

Other practice location 2

860 Omni Blvd Ste 111
Newport News, VA 23606-4430
Phone (757) 369-8138

Other names 1

  • Danielle Alexandra Shell 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
I20200427000070 VA Practitioner - Physician Assistant 1456781806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

101 Philip Roth St
Suite 5 a
Newport News, VA 23606-1393
Phone (757) 599-6333

109 Philip Roth St
Newport News, VA 23606-1393
Phone (757) 873-6434

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007021VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Apr 28, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 20, 2021 Accepting new patients
Riverside Physician Services Inc CurrentSince Apr 28, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 20, 2021 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

850 Enterprise Pkwy
Ste 2000
Hampton, VA 23666
Phone (757) 534-6109

860 Omni Blvd
Ste 111
Newport News, VA 23606
Phone (757) 223-5321

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

827 Diligence Dr
Ste 100
Newport News, VA 23606

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1912562406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 111",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-369-8138",
            "fax_number": "757-310-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHILIP ROTH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061393",
            "telephone_number": "757-599-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Enterprise Pkwy Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666252",
            "country_code": "US",
            "telephone_number": "757-599-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Omni Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064430",
            "country_code": "US",
            "telephone_number": "757-369-8138",
            "fax_number": "757-310-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABERS",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SHELL",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.