Active NPI
Tamara N Mitchell, FNP
- Family Nurse Practitioner
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024186221
- Practice address
- 11842 Rock Landing Dr Ste 115
Newport News, VA 23606-4437 - Phone
- (757) 595-9905
- Fax
- (757) 595-5377
- NPI assigned
- Jan 16, 2023
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024186221 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024186221 | VA | Primary |
Addresses
Primary practice location
11842 Rock Landing Dr Ste 115
Newport News, VA 23606-4437
Mailing address
221 Derosa Dr
Hampton, VA 23666-5683
Phone (757) 739-9179
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6353 Ctr Dr
Suite 100
Norfolk, VA 23502
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.45 of 100
- Quality
- 76.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024186221 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Womens Care PLC | Current | Accepting new patients | |
| Mid-Atlantic Womens Care PLC | Past | Accepting new patients | |
| Mid-Atlantic Womens Care PLC | Past | Accepting new patients | |
| Mid-Atlantic Womens Care PLC | Past | Accepting new patients |
Locations
11842 Rock Landing Dr
Ste 115
Newport News, VA 23606
Phone (757) 595-9905
6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735
844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890
Interoperability endpoints
- tamara.mitchell.1@22824.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1699365072
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1114965043
-
- Specialist
- Newport News, VA
- NPI 1578652137
-
dba Complete Womens Care
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1851339246
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912612813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 DEROSA DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665683",
"telephone_number": "757-739-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11842 ROCK LANDING DR STE 115",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064437",
"telephone_number": "757-595-9905",
"fax_number": "757-595-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "TAMARA",
"middle_name": "N",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024186221",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.