BON SECOURS PALLIATIVE MEDICINE
NPI 1568612265
Nurse Practitioner in Newport News, VA

Q: What is Mary Immaculate Hospital LLC's NPI number?

The NPI number for Mary Immaculate Hospital LLC is 1568612265. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider is doing business as Bon Secours Palliative Medicine.

Q: What is Mary Immaculate Hospital LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 30, 2008

2 BERNARDINE DR, NEWPORT NEWS, VA 23602(757) 947-3838(757) 886-6757 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2020, Sep 17, 2019, May 16, 2019 (3 updates tracked since 2019).

On this page

About Bon Secours Palliative Medicine NPPES

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

BON SECOURS PALLIATIVE MEDICINE (NPI 1568612265) is a healthcare organization registered as a nurse practitioner in Newport News, Virginia and active in the NPI registry since September 2008. The organization lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1568612265

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMARY IMMACULATE HOSPITAL LLC

Location Address2 BERNARDINE DRNewport News, VA 23602-4404

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896

Phone(757) 947-3838

Fax(757) 886-6757

Organization SubpartYes

Authorized OfficialWilbur GayCfo · (864) 561-7672

Enumeration DateSeptember 30, 2008

Last NPPES UpdateSeptember 21, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2020

✔ NPI 1568612265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2 BERNARDINE DR, Newport News, VA 23602

Open in Google Maps ↗

Other Names 1

Doing Business AsBon Secours Palliative Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

XIA LI

Hospitalist