VERNICA ANDERSON (FNP-C) – Family Nurse Practitioner, NPI 1104368273

VERNICA ANDERSON (FNP-C) is a healthcare provider. based in Virginia beach, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 565088 (NY). The NPI Number for VERNICA ANDERSON (FNP-C) is 1104368273

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
VERNICA ANDERSON (FNP-C)
NPI
1104368273
Phone
(347) 856-4595
Address
4663 HAYGOOD RD STE 203
Enumeration Date
7 November 2016
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573731913
Graduation Year
2023 (3 years ago)
PAC ID
1254877392
Group Practice PAC ID
0840723557
Professional Enrollment ID
I20240724003667
Address ID
VA238602536HO903XXBROA300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for VERNICA ANDERSON (FNP-C)

  • 4663 HAYGOOD RD STE 203

    VIRGINIA BEACH, VA 234555442

    Phone: (347) 856-4595

    Type: Location

  • 10523 MAPLE LEAF DR

    LAWRENCEVILLE, NJ 086481231

    Phone:

    Type: Mailing

  • 6470 CRESCENT WAY APT 301

    NORFOLK, VA 235131434

    Phone:

    Type: Mailing

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: 2024-07-24

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
I20240724003667INurse 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 23455)

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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: 0840723557View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Can I use this page to confirm VERNICA ANDERSON (FNP-C)'s NPI?
Yes. VERNICA ANDERSON (FNP-C) is listed with NPI 1104368273 in the public NPI dataset.
Is VERNICA ANDERSON (FNP-C) still practicing?
VERNICA ANDERSON (FNP-C) is currently listed as active in the public NPI registry.
What healthcare role does VERNICA ANDERSON (FNP-C) hold?
Scheduling teams often label VERNICA ANDERSON (FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does VERNICA ANDERSON (FNP-C) serve?
VERNICA ANDERSON (FNP-C)'s listing highlights Virginia Beach, Virginia; more addresses can appear in NPPES.
Why does VERNICA ANDERSON (FNP-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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