MS. MARTHA ANNE VERSPRILLE PA-C - NPI 1952369100 - Physician Assistant in Norfolk, VA

Q: What is Martha Versprille's NPI number?

The NPI number for Martha Versprille is 1952369100. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Martha Versprille's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Martha Versprille was last updated on January 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Martha Anne Versprille Pa-c NPPES

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

MS. MARTHA ANNE VERSPRILLE PA-C (NPI 1952369100) is an individual medical provider in Norfolk, Virginia, licensed in Virginia (0110001949) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chesapeake.

NPPES Registry Identity

NPI1952369100

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. MARTHA ANNE VERSPRILLECredential: PA-C

Location Address301 RIVERVIEW AVE STE 512Norfolk, VA 23510-1066

Mailing Address4445 Corporation Ln Ste 100Virginia Beach, VA 23462-3666 · (757) 623-0005 · Fax (757) 548-1129

Phone(757) 623-0005

Fax(757) 389-5774

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJanuary 20, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2022

✔ NPI 1952369100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in VA · 0110001949✔ Licensed in NC · 001000355

301 RIVERVIEW AVE STE 512, Norfolk, VA 23510

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Secondary Practice Location 1

Location 1300 Medical Pkwy, Suite 110Chesapeake, VA 23320-4985 · Phone (757) 623-0005 · Fax (757) 410-7349

Other Identifiers 1

Medicaid010250862VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Martha Anne Versprille Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

DR. BHUPINDER KUMAR PRAJAPATI MBBS, MD