HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD
NPI 1528446507
Clinic/Center - Federally Qualified Health Center (FQHC) in Hampton, VA

Active since May 11, 2015CLIA 49D2124301 · Waiver
300 MEDICAL DR, HAMPTON, VA 23666(757) 788-0400(757) 788-0969 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hampton Newport News Community Services Board NPPES

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

HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD (NPI 1528446507) is a healthcare organization registered as a federally qualified health center (fqhc) in Hampton, Virginia and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Angela Futrell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528446507
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Location Address300 MEDICAL DRHampton, VA 23666-1765
Mailing Address1033 28th St, 2nd FloorNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 228-1045
Fax(757) 788-0969
Organization SubpartNo
Authorized OfficialAngela FutrellCeo · (757) 591-0643
Enumeration DateMay 11, 2015
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1528446507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
300 MEDICAL DR, Hampton, VA 23666

Other Names 1

Doing Business AsHampton Newport News Community Services Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hampton Newport News Community Services Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Hampton Newport News Community Services Board, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Internal Medicine5
Family Practice4
Nurse Practitioner3
Obstetrics/Gynecology2
Pediatric Medicine2
Certified Nurse Midwife (CNM)1
General Practice1

Clinicians, nearest first (18)

Certified Nurse Midwife (CNM)
NPI 1700178399
4000 COLISEUM DR STE 280
Hampton, VA 23666
(757) 827-2455
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1265668537
304 MARCELLA RD STE A
Hampton, VA 23666
(757) 872-3800
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1932834348
48 NEWMARKET SQ
Newport News, VA 23605
(757) 825-8030
✔ PECOS✔ Accepts Medicare3.9 mi
General Practice
NPI 1295936763
9294 WARWICK BLVD
Newport News, VA 23607
(747) 223-7001
✔ PECOS✔ Accepts Medicare4.3 mi
Pediatric Medicine
NPI 1396724407
4714 MARSHALL AVE
Newport News, VA 23607
(757) 380-8709
✔ PECOS4.5 mi
Internal Medicine
NPI 1134108012
4714 MARSHALL AVE
Newport News, VA 23607
(757) 380-8709
✔ PECOS4.5 mi
Family Practice
NPI 1528047610
4717 MARSHALL AVE
Newport News, VA 23607
(757) 380-8709
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1700831898
15425 WARWICK BLVD STE H
Newport News, VA 23608
(757) 874-8400
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1932189578
15425 WARWICK BLVD
Newport News, VA 23608
(757) 874-8400
✔ PECOS✔ Accepts Medicare11 mi
Obstetrics/Gynecology
NPI 1659728335
710 LIBERTY ST
Chesapeake, VA 23324
(757) 917-5716
✔ PECOS✔ Accepts Medicare17 mi
Obstetrics/Gynecology
NPI 1821289182
6161 KEMPSVILLE CIR STE 340
Norfolk, VA 23502
(757) 395-4455
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1366185068
5516 VIRGINIA BEACH BLVD
Virginia Beach, VA 23462
(757) 502-5919
✔ PECOS18 mi
Pediatric Medicine
NPI 1083682645
324 LOUISA AVE STE 118
Virginia Beach, VA 23454
(757) 333-7797
✔ PECOS25 mi
Family Practice
NPI 1306814173
940 GENERAL BOOTH BLVD SUITE A
Virginia Beach, VA 23451
(757) 425-3610
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1922117142
940 GENERAL BOOTH BLVD
Virginia Beach, VA 23451
(757) 325-4610
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1356373500
102 FAIRVIEW DR STE B
Franklin, VA 23851
(757) 562-2158
✔ PECOS✔ Accepts Medicare40 mi
Family Practice
NPI 1336680537
10085 WILLIAM F. BERNART CIRCLE
Nassawadox, VA 23413
(757) 442-6600
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1073042255
3830 E VAN BUREN ST
Phoenix, AZ 85008
(602) 243-7277
✔ PECOS2,017 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2124301

Hampton Newport News Community Services Board · Hampton, VA
Active · expires Jan 11, 2027
CLIA Number49D2124301
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorLaurie Ratledge
Laboratory Phone(757) 788-0200
Laboratory LocationHampton Newport News Community Services Board200 Medical Drive, Hampton, VA 23666
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Peninsula Institute For Community Health Inc's NPI number?

The NPI number for Peninsula Institute For Community Health Inc is 1528446507. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is doing business as Hampton Newport News Community Services Board.

Where is Peninsula Institute For Community Health Inc located?

Peninsula Institute For Community Health Inc is located at 300 Medical Dr, Hampton, VA 23666. The listed phone number is (757) 788-0400.

What is Peninsula Institute For Community Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Peninsula Institute For Community Health Inc enrolled in Medicare?

Yes. Peninsula Institute For Community Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Institute For Community Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Peninsula Institute For Community Health Inc. 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 Internal Medicine (5), Family Practice (4) and Nurse Practitioner (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peninsula Institute For Community Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2124301) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Institute For Community Health Inc was last updated on December 28, 2023. 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.