Individual provider Active NPI

Tamara N Mitchell, FNP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1912612813
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186221 Issued in VA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217001366 VA Practitioner - Nurse Practitioner 1153793286 Reassigns benefits to 1 organization

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 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024186221VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Feb 12, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC PastSince Jan 22, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.