VIRGINIA CALDWELL FNP-BC
NPI 1356995427
Nurse Practitioner - Family in Newport News, VA

Q: What is Virginia Caldwell's NPI number?

The NPI number for Virginia Caldwell is 1356995427. It was assigned to this individual provider in the NPPES registry on July 27, 2019.

Q: What is Virginia Caldwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Virginia Caldwell was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2019PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

12200 WARWICK BLVD STE 110, NEWPORT NEWS, VA 23601(757) 534-5100(757) 534-5395 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2019, Jul 27, 2019 (2 updates tracked since 2019).

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About Virginia Caldwell Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGINIA CALDWELL FNP-BC (NPI 1356995427) is an individual family provider in Newport News, Virginia, licensed in Virginia (0024177202) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356995427

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVIRGINIA CALDWELLCredential: FNP-BC

Location Address12200 WARWICK BLVD STE 110Newport News, VA 23601-2344

Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190

Phone(757) 534-5100

Fax(757) 534-5395

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 27, 2019

Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration

✔ NPI 1356995427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024177202

12200 WARWICK BLVD STE 110, Newport News, VA 23601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Virginia Caldwell Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597095497

PECOS Enrollment IDI20191022002871

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services23 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490052

Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.65

Promoting Interoperability

95.83

Improvement Activities

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE WILSON

Family Medicine (Sports Medicine)