OPTIMA HEALTH PLAN
NPI 1396466066
Family Medicine in Norfolk, VA

Active since September 09, 2022
824 N MILITARY HWY STE 100, NORFOLK, VA 23502(757) 233-4500 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optima Health Plan NPPES

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

OPTIMA HEALTH PLAN (NPI 1396466066) is a healthcare organization registered as a family medicine in Norfolk, Virginia and active in the NPI registry since September 2022. The organization lists Doris Prince, Director, as its authorized official.

NPPES Registry Identity

NPI1396466066
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTIMA HEALTH PLAN
Location Address824 N MILITARY HWY STE 100Norfolk, VA 23502-3652
Mailing AddressPo Box 746550Atlanta, GA 30374-6550 · (757) 233-4500 · Fax (757) 252-3235
Organization SubpartNo
Authorized OfficialDoris PrinceDirector · (757) 983-5475
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1396466066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
824 N MILITARY HWY STE 100, Norfolk, VA 23502

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optima Health Plan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Optima Health Plan, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner8
Family Practice3
Clinical Social Worker1
Mental Health Counselor1
Pediatric Medicine1
Psychiatry1

Clinicians, nearest first (15)

Family Practice
NPI 1952720690
701 S MAIN ST
Norfolk, VA 23523
(757) 388-1830
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1255574612
701 S MAIN ST
Norfolk, VA 23523
(757) 388-1830
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1518075399
301 RIVERVIEW AVE STE 930
Norfolk, VA 23510
(757) 252-3236
✔ PECOS✔ Accepts Medicare5.5 mi
Family Practice
NPI 1013982388
3745 HOLLAND RD STE 200
Virginia Beach, VA 23452
(757) 395-1700
✔ PECOS✔ Accepts Medicare6.3 mi
Mental Health Counselor
NPI 1528688652
575 LYNNHAVEN PKWY STE 305
Virginia Beach, VA 23452
(804) 207-6737
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1740791078
1181 FIRST COLONIAL RD STE 200
Virginia Beach, VA 23454
(757) 425-1600
✔ PECOS✔ Accepts Medicare9.9 mi
Pediatric Medicine
NPI 1679783609
1800 CAMELOT DR SUITE 200
Virginia Beach, VA 23454
(757) 491-7337
✔ PECOS10 mi
Nurse Practitioner
NPI 1790051910
1328 E PEMBROKE AVE
Hampton, VA 23669
(757) 379-1660
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1710128707
2244 EXECUTIVE DR
Hampton, VA 23666
(757) 827-1001
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1467477273
5116 RICHMOND HENRICO TPKE
Richmond, VA 23227
(804) 613-5907
✔ PECOS✔ Accepts Medicare85 mi
Clinical Social Worker
NPI 1356173587
707 N COURTHOUSE RD
North Chesterfield, VA 23236
(540) 717-5519
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1891234886
10800 NUCKOLS RD
Glen Allen, VA 23060
(757) 261-6475
✔ PECOS94 mi
Family Practice
NPI 1144225277
540 BELVEDERE BLVD STE 100
Charlottesville, VA 22901
(434) 654-2830
✔ PECOS✔ Accepts Medicare150 mi
Nurse Practitioner
NPI 1134836828
10770 COLUMBIA PIKE STE 300
Silver Spring, MD 20901
(240) 663-5467
✔ PECOS✔ Accepts Medicare157 mi
Nurse Practitioner
NPI 1962474924
640 S MAIN ST
Harrisonburg, VA 22801
(540) 564-5800
✔ PECOS✔ Accepts Medicare183 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optima Health Plan's NPI number?

The NPI number for Optima Health Plan is 1396466066. It was assigned to this organization in the NPPES registry on September 9, 2022.

Where is Optima Health Plan located?

Optima Health Plan is located at 824 N Military Hwy Ste 100, Norfolk, VA 23502. The listed phone number is (757) 233-4500.

What is Optima Health Plan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Optima Health Plan enrolled in Medicare?

Yes. Optima Health Plan is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optima Health Plan?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Optima Health Plan. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Family Practice (3) and Clinical Social Worker (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optima Health Plan was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.