Your Nurse Practitioner Pllc - Medicare Mental Health Clinic in Virginia Beach, VA

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Your Nurse Practitioner Pllc is a medicare enrolled mental health clinic (Clinic/center - Multi-specialty) in Virginia Beach, Virginia. The current practice location for Your Nurse Practitioner Pllc is 4360 Shore Dr Ste 101, Virginia Beach, Virginia. For appointments, you can reach them via phone at (757) 251-0879. The mailing address for Your Nurse Practitioner Pllc is 4360 Shore Dr Ste 101, Virginia Beach, Virginia and phone number is (757) 251-0879.

Your Nurse Practitioner Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801489711. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 251-0879.

Contact Information

Your Nurse Practitioner Pllc
4360 Shore Dr Ste 101
Virginia Beach
VA 23455-2994
(757) 251-0879
(984) 220-9437

Map and Direction


Mental Health Clinic Profile

Full NameYour Nurse Practitioner Pllc
SpecialityClinic/Center
Location4360 Shore Dr Ste 101, Virginia Beach, Virginia
Authorized Official Name and PositionSandra W Nichols (CEO)
Authorized Official Contact7572510879
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Your Nurse Practitioner Pllc
4360 Shore Dr Ste 101
Virginia Beach
VA 23455-2994

Ph: (757) 251-0879		Your Nurse Practitioner Pllc
4360 Shore Dr Ste 101
Virginia Beach
VA 23455-2994

Ph: (757) 251-0879

NPI Details:

NPI Number1801489711
Provider Enumeration Date02/11/2021
Last Update Date11/23/2024
Certification Date11/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7113329517
Medicare Enrollment IDO20210707003787

Medical Identifiers

Medical identifiers for Your Nurse Practitioner Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801489711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
225XH1300XOccupational Therapist - Human Factors (* (Not Available))Secondary
225XM0800XOccupational Therapist - Mental Health (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Your Nurse Practitioner Pllc acts as a billing entity for following providers:
Provider NameMichael S Prince
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295753630
PECOS PAC ID: 6800063421
Enrollment ID: I20120124000095
Provider NameMichelle M Eynon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427294552
PECOS PAC ID: 7517106289
Enrollment ID: I20130611000103
Provider NameSandra Walker Nichols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770749202
PECOS PAC ID: 0547304412
Enrollment ID: I20200330002712
Provider NameChristine Marie Brown
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316698004
PECOS PAC ID: 8921480625
Enrollment ID: I20220727003097
Provider NameKrista Pembroke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043920606
PECOS PAC ID: 5799156121
Enrollment ID: I20230123002914
Provider NameKaren Higgins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619417532
PECOS PAC ID: 4183088115
Enrollment ID: I20230911000233
Provider NameJanet Enriquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043916265
PECOS PAC ID: 5294199733
Enrollment ID: I20230915002810
Provider NameAlice Baillio-hanchey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700669363
PECOS PAC ID: 7618322926
Enrollment ID: I20231005003619
Provider NameSuzanna Kathleen Doty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962285528
PECOS PAC ID: 0749639029
Enrollment ID: I20231212002024
Provider NameSarah Louise Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104699552
PECOS PAC ID: 2466890074
Enrollment ID: I20240402001675
Provider NameTyler Stott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912779497
PECOS PAC ID: 6709225360
Enrollment ID: I20240415003635
Provider NameKaley Elizabeth Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588433692
PECOS PAC ID: 7618407941
Enrollment ID: I20250214003200
Provider NameMary E Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770038093
PECOS PAC ID: 2769761592
Enrollment ID: I20250417003575
Provider NameJordan Thomas Parker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1851104582
PECOS PAC ID: 9032634373
Enrollment ID: I20250418000677
Provider NameJames Edwin Kent
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801611264
PECOS PAC ID: 8729503099
Enrollment ID: I20250418001342
Provider NameDenise Atkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669577292
PECOS PAC ID: 0547354326
Enrollment ID: I20250507000099
Provider NameNguyen Duc Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487149142
PECOS PAC ID: 2062922370
Enrollment ID: I20250606000969

Reviews and Comments

Clinic/Center in Virginia Beach, VA

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Practice Location: 704 Achilles Ct, Virginia Beach, VA 23464
Phone: 757-559-1123    
Bhg Xlii, Llc
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Phone: 757-962-0748    
Seaside Aba Therapy, Llc
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Practice Location: 3212 Lorton Ct, Virginia Beach, VA 23452
Phone: 757-575-6820    
A New Perspective Therapy Services, Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 101 N Lynnhaven Rd Ste 201, Virginia Beach, VA 23452
Phone: 805-704-1519    
Goodman Group Services
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Medicare: Not Enrolled in Medicare
Practice Location: 433 S Witchduck Rd, Virginia Beach, VA 23462
Phone: 757-613-6401    
Sophia Sills-tailor, Ph.d, Lpc, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Diamond Springs Rd Ste 401, Virginia Beach, VA 23455
Phone: 757-724-0980    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.