TIA ELAINE SEXTON
NPI 1376990937
Nurse Practitioner - Family in Bastian, VA

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
12301 GRAPEFIELD RD, BASTIAN, VA 24314(276) 688-4331(276) 688-4336 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tia Elaine Sexton NPPES

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

TIA ELAINE SEXTON (NPI 1376990937) is an individual family provider in Bastian, Virginia, licensed in Virginia (0024173546) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bland, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376990937
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIA ELAINE SEXTON
Location Address12301 GRAPEFIELD RDBastian, VA 24314-4547
Mailing Address12301 Grapefield RdBastian, VA 24314-4547 · (276) 688-4331 · Fax (276) 688-4336
Fax(276) 688-4336
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 24, 2016
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1376990937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024173546
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001189937 (VA)
12301 GRAPEFIELD RD, Bastian, VA 24314

Secondary Practice Location 1

Location 18494 S Scenic HwyBland, VA 24315-5255 · Phone (276) 688-0500

Accepted Insurance

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

Tia Elaine Sexton 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 ID6608164512
PECOS Enrollment IDI20161010000926
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 4

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
34 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
32 services26 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
25 services24 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24314 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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Nurse Practitioner
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Family Medicine
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Clinic/Center (Federally Qualified Health Center (FQHC))
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Nurse Practitioner (Family)
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Nurse Practitioner (Family)
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Nurse Practitioner (Family)
12301 GRAPEFIELD RD
BASTIAN, VA 24314
Nurse Practitioner (Family)
12301 GRAPEFIELD RD
BASTIAN, VA 24314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tia Sexton's NPI number?

The NPI number for Tia Sexton is 1376990937. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Tia Sexton located?

Tia Sexton practices at 12301 Grapefield Rd, Bastian, VA 24314. The listed phone number is (276) 688-4331.

What is Tia Sexton's specialty?

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

Is Tia Sexton enrolled in Medicare?

Yes. Tia Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tia Sexton accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Oscar Insurance Company list Tia Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tia Sexton was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.