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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. NANETTE MARILYN INGRAM CLC, MLC
NPI 1508627035
Specialist in Williamsburg, VA

Active since January 22, 2024PECOS Enrolled
5907 MONTPELIER DR, WILLIAMSBURG, VA 23188(951) 905-8209 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nanette Marilyn Ingram Clc, Mlc NPPES

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

MRS. NANETTE MARILYN INGRAM CLC, MLC (NPI 1508627035) is an individual specialist in Williamsburg, Virginia, licensed in Virginia (330626) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newport News, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508627035
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. NANETTE MARILYN INGRAMCredential: CLC, MLC
Location Address5907 MONTPELIER DRWilliamsburg, VA 23188-8122
Mailing Address5907 Montpelier DrWilliamsburg, VA 23188-8122 · (951) 905-8209
Phone(951) 905-8209
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 22, 2024
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1508627035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 330626
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5907 MONTPELIER DR, Williamsburg, VA 23188
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Secondary Practice Location 1

Location 1732 Thimble Shoals Blvd Ste 603Newport News, VA 23606-4257 · Phone (951) 905-8209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nanette Marilyn Ingram Clc, Mlc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002394947
PECOS Enrollment IDI20260202000511
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.

Other Providers at the Same Location NPPES

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

FULL TUMMIES LACTATION, LLC
Specialist
5907 MONTPELIER DR
WILLIAMSBURG, VA 23188
James City County (757) 354-3016

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 Nanette Ingram's NPI number?

The NPI number for Nanette Ingram is 1508627035. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Nanette Ingram located?

Nanette Ingram practices at 5907 Montpelier Dr, Williamsburg, VA 23188. The listed phone number is (951) 905-8209.

What is Nanette Ingram's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nanette Ingram enrolled in Medicare?

Yes. Nanette Ingram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nanette Ingram was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.