Ralph Kenneth Ablaseau, NP-C
Individual provider Active NPI Nurse Practitioner · Williamsburg, VA
NPI 1982869715 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1982869715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024164829 (VA)
- Practice address
- 263 McLaws Circle
Suite 105
Williamsburg, VA 23185-5629 - Phone
- (757) 941-5600
- Fax
- (757) 564-0557
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairfield Psychological Assoc.
Practice addresses (Care Compare)
5265 Providence Rd
Suite 500
Virginia BCH, VA 23464-4210
Phone (757) 467-9500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110921000431 | VA | Practitioner - Nurse Practitioner | 1658542733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164829 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Psychological Assoc. | Current |
Accepting new patients | |
| Gli LLC | Current |
Accepting new patients |
Locations
1021 Eden Way N
Chesapeake, VA 23320
Phone (434) 203-9097
1021 Eden Way N
Ste 124
Chesapeake, VA 23320
Phone (757) 842-6757
2901 S Lynnhaven Rd
Ste 170
Virginia Beach, VA 23452
Phone (757) 498-5714
5265 Providence Rd
Ste 500
Virginia Beach, VA 23464
Phone (757) 354-5379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024164829 | VA | |
| Nurse Practitioner | 363L00000X | 0024164829 | VA | Yes |
Addresses
Primary practice location
263 McLaws Circle
Suite 105
Williamsburg, VA 23185-5629
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -032 | Other | VA | TRICARE/CHAMPUS |
| 1982869715 | Medicaid | VA | |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | CORVEL |
Other providers in Williamsburg, VA
- Romina Abawi-Wooten
- Diane Abdo
- Robert Abdo
- Eva L Abel
- Joseph Abiad
- Abundant Life Partners, LLC
- Abundant Path LLC
- Access Child and Family Care
- Access Child and Family Care Inc
- Access Family Care
All providers in Williamsburg, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.