YOUR NURSE PRACTITIONER PLLC
NPI 1801489711
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA
About Your Nurse Practitioner Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUR NURSE PRACTITIONER PLLC (NPI 1801489711), doing business as Panacea Behavioral Health & Wellness Center, is a healthcare organization registered as a psychiatric/mental health in Virginia Beach, Virginia and active in the NPI registry since February 2021. The organization maintains 2 additional practice locations and lists Sandra W Nichols, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Your Nurse Practitioner Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Your Nurse Practitioner PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
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 Your Nurse Practitioner PLLC's NPI number?
The NPI number for Your Nurse Practitioner PLLC is 1801489711. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as Panacea Behavioral Health & Wellness Center.
Where is Your Nurse Practitioner PLLC located?
Your Nurse Practitioner PLLC is located at 4360 Shore Dr Ste 101, Virginia Beach, VA 23455. The listed phone number is (757) 251-0879.
What is Your Nurse Practitioner PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Your Nurse Practitioner PLLC enrolled in Medicare?
Yes. Your Nurse Practitioner PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Your Nurse Practitioner PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Your Nurse Practitioner PLLC. 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 (6), Mental Health Counselor (3) and Clinical Psychologist (1). Of these, 7 practice at this address and 8 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 Your Nurse Practitioner PLLC was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Your Nurse Practitioner Pllc · NPI 1801489711
Psychiatric/Mental Health organization in Virginia Beach, Virginia. Organization record, active in the CMS NPPES registry since February 11, 2021.
## Identity
- **NPI:** 1801489711 (Entity type: Organization)
- **Enumerated:** February 11, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Panacea Behavioral Health & Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sandra Nichols, CEO
## Practice location
- **Address:** 4360 SHORE DR STE 101, Virginia Beach, VA 23455-2994
- **Phone:** (757) 251-0879 · **Fax:** (984) 220-9437
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Mental Health Counselor (3), Clinical Psychologist (1); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801489711) · Data from the CMS NPPES public registry.