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DR. ANGEL DOMINIQUE GRESHAM APRN
NPI 1386883718
Nurse Practitioner - Psychiatric/Mental Health in Chesapeake, VA

Active since February 09, 2009PECOS EnrolledAccepts Medicare Assignment
308 GEORGE WASHINGTON HWY N STE 2, CHESAPEAKE, VA 23323(757) 773-6130 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Angel Dominique Gresham Aprn NPPES

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

DR. ANGEL DOMINIQUE GRESHAM APRN (NPI 1386883718) is an individual psychiatric/mental health provider in Chesapeake, Virginia, licensed in Virginia (0024188654) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2023).

NPPES Registry Identity

NPI1386883718
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. ANGEL DOMINIQUE GRESHAMCredential: APRN
Location Address308 GEORGE WASHINGTON HWY N STE 2Chesapeake, VA 23323-1852
Mailing Address2872 E Point DrChesapeake, VA 23321-4125
Phone(757) 773-6130
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2023
Enumeration DateFebruary 9, 2009
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1386883718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024188654
308 GEORGE WASHINGTON HWY N STE 2, Chesapeake, VA 23323
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Angel Dominique Blair

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

Dr. Angel Dominique Gresham Aprn 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 ID2567901457
PECOS Enrollment IDI20240822004242
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23323 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 4

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

BRENDAN O'CONNOR LPC
Counselor (Professional)
308 GEORGE WASHINGTON HWY N STE 2
CHESAPEAKE, VA 23323
Chesapeake City (757) 773-6130
JENNA M MCCORMICK LCSW
Social Worker (Clinical)
308 GEORGE WASHINGTON HWY N STE 2
CHESAPEAKE, VA 23323
Chesapeake City (757) 773-6130
JONATHAN LAO SENG LCSW
Social Worker (Clinical)
308 GEORGE WASHINGTON HWY N STE 2
CHESAPEAKE, VA 23323
Chesapeake City (757) 773-6130
GERANAMEO VLADMIRE BULLOCK M.D.
Psychiatry & Neurology (Psychiatry)
308 GEORGE WASHINGTON HWY N STE 2
CHESAPEAKE, VA 23323
Chesapeake City (347) 794-3761

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 Angel Gresham's NPI number?

The NPI number for Angel Gresham is 1386883718. It was assigned to this individual provider in the NPPES registry on February 9, 2009. The provider is also known as Dr. Angel Dominique Blair.

Where is Angel Gresham located?

Angel Gresham practices at 308 George Washington Hwy N Ste 2, Chesapeake, VA 23323. The listed phone number is (757) 773-6130.

What is Angel Gresham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Angel Gresham enrolled in Medicare?

Yes. Angel Gresham 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.

When was this NPI record last updated?

The NPPES record for Angel Gresham was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.