MEAGAN ETHRIDGE (NP) – Acute Care Nurse Practitioner, NPI 1023817269

MEAGAN ETHRIDGE (NP) is a healthcare provider. based in Suffolk, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 000001143958 (VA). The NPI Number for MEAGAN ETHRIDGE (NP) is 1023817269

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MEAGAN ETHRIDGE (NP)
NPI
1023817269
Phone
(757) 397-4200
Address
5839 HARBOUR VIEW BLVD STE 100
Enumeration Date
11 March 2025
Last Update Date
26 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573974200
Graduation Year
2025 (1 year ago)
PAC ID
8628597515
Group Practice PAC ID
8729031638
Professional Enrollment ID
I20250523000229
Address ID
VA234353797SU5839XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MEAGAN ETHRIDGE (NP)

  • 5839 HARBOUR VIEW BLVD STE 100

    SUFFOLK, VA 234353797

    Phone: (757) 397-4200

    Type: Mailing

  • 5839 HARBOR VIEW BLVD STE 100A

    SUFFOLK, VA 234353797

    Phone: (757) 397-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250523000229INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729031638View full group profile
NameSpecialtyState
Nurse PractitionerVA
H E M A T O L O G Y/ O N C O L O G YFL
-VA
-VA
Nurse PractitionerVA
-VA
-VA
H E M A T O L O G Y/ O N C O L O G YVA
-VA
H E M A T O L O G Y/ O N C O L O G YIL

Reviews

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Frequently asked questions

How do payers reference MEAGAN ETHRIDGE (NP)?
For MEAGAN ETHRIDGE (NP), use NPI 1023817269 as the unique 10-digit identifier.
Would MEAGAN ETHRIDGE (NP) appear as active to a payer?
You can treat MEAGAN ETHRIDGE (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MEAGAN ETHRIDGE (NP)?
MEAGAN ETHRIDGE (NP)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MEAGAN ETHRIDGE (NP)?
Travel planning: use Suffolk, Virginia as the reference point for MEAGAN ETHRIDGE (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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