Daniel Lynn Stephenson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024179448 Issued in VA

Practice address

205 Bulifants Blvd Ste a
Williamsburg, VA 23188-5740

Phone

(757) 345-5876

Fax

(757) 345-0770

NPI assigned

Feb 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Kidney Associates PCGroup PAC ID 1456348077, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.stephenson@direct.davitaphysiciansolutions.com

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.

• Peninsula Kidney Associates PC

  • Nephrology Physician
  • Hampton, VA
  • NPI 1750436531
  Medicare reassignment Care Compare group NPD
• Peninsula Vascular Center, P.C.

  • Nephrology Physician
  • Hampton, VA
  • NPI 1093070781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors' Hospital of Williamsburg

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1275893307
  Care Compare affiliation
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1619938149
  Care Compare affiliation

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1972194926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BUTLER FARM RD STE I",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661777",
            "telephone_number": "757-251-7469",
            "fax_number": "757-251-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BULIFANTS BLVD STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885740",
            "telephone_number": "757-345-5876",
            "fax_number": "757-345-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "DANIEL",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024179448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steider&Charles Management.LLC. Dba Madison Retirement Center.
• Cory James Steiger, BCBA
• Sara Elaine Stein, FNP-BC
• Steven Scott Stensland, DDS
• Erika Jane Stephan, P.T.
• Michael G Sternberg, OD
• Courtney Rae Steuber, BCBA
• Steven H. Reams, M.D., Inc.
• James Stever, PTA
• Marcus Stewart

• Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.

Verify at the official NPI Registry.