Individual provider Active NPI

Angeline Tonette Gallant, FNP-BC

  • Family Nurse Practitioner
  • Chester, VA
National Provider Identifier
1972970150
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172826 Issued in VA
Practice address
4313 Old Hundred Rd
Chester, VA 23831-4232
Phone
(804) 813-0085
Fax
(888) 571-2896
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172826 VA Primary

Addresses

Primary practice location

4313 Old Hundred Rd
Chester, VA 23831-4232

Mailing address

4313 Old Hundred Rd
Chester, VA 23831-4232
Phone (804) 813-0805

Other names 1

  • Miss Angeline Tonette Gibson 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
I20151026000742 VA Practitioner - Nurse Practitioner 6406165844 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Geriatrics LLCGroup PAC ID 9537404967, 6 clinicians
Restorative Balance Specialists, PLLCGroup PAC ID 3274971080, 2 clinicians

Practice addresses (Care Compare)

1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310
Phone (804) 721-9145

4313 Old Hundred Rd
Chester, VA 23831-4232
Phone (804) 813-0085

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of Richmond Inc CurrentSince Apr 1, 2025 Accepting new patients
Bloom Geriatrics LLC CurrentSince Oct 1, 2018 Accepting new patients
Provider Partners Care Management LP CurrentSince Sep 1, 2024 Accepting new patients
Express Med Urgent Care Center, Inc PastSince Apr 1, 2025 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

906 Thompson St
Ashland, VA 23005
Phone (804) 412-1440

1714 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 530-5293

235 Dunlop Farms Blvd
Colonial Heights, VA 23834
Phone (804) 520-0050

5310 Twin Hickory Rd
Glen Allen, VA 23059
Phone (804) 360-4242

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

Organizations & group practices 5

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 2

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1972970150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 OLD HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314232",
            "telephone_number": "804-813-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 OLD HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314232",
            "telephone_number": "804-813-0085",
            "fax_number": "888-571-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "ANGELINE",
        "middle_name": "TONETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINE",
            "last_name": "GIBSON",
            "middle_name": "TONETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.