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

HAVEN RISE HEALTH CARE
NPI 1962332189
Nurse Practitioner - Primary Care in Hampton, VA

Active since May 20, 2026
1702 TODDS LN STE 305, HAMPTON, VA 23666(804) 944-6261(904) 372-6121 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2026, May 20, 2026 (2 updates tracked since 2026).

About Haven Rise Health Care NPPES

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

HAVEN RISE HEALTH CARE (NPI 1962332189) is a healthcare organization registered as a primary care in Hampton, Virginia and active in the NPI registry since May 2026. The organization lists Carlita Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1962332189
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHAVEN RISE HEALTH CARE
Location Address1702 TODDS LN STE 305Hampton, VA 23666-3199
Mailing Address4760 Bishops Gate WayProvidence Forge, VA 23140-4438 · (804) 944-6261 · Fax (904) 372-6121
Fax(904) 372-6121
Organization SubpartNo
Authorized OfficialCarlita LewisPresident · (804) 944-6261
Enumeration DateMay 20, 2026
Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1962332189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1702 TODDS LN STE 305, Hampton, VA 23666

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haven Rise Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Haven Rise Health Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1275170417
1702 TODDS LN STE 305
Hampton, VA 23666
(804) 944-6261
✔ PECOS✔ Accepts MedicareSame address

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 Haven Rise Health Care's NPI number?

The NPI number for Haven Rise Health Care is 1962332189. It was assigned to this organization in the NPPES registry on May 20, 2026.

Where is Haven Rise Health Care located?

Haven Rise Health Care is located at 1702 Todds Ln Ste 305, Hampton, VA 23666. The listed phone number is (804) 944-6261.

What is Haven Rise Health Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Haven Rise Health Care enrolled in Medicare?

Yes. Haven Rise Health Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haven Rise Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Haven Rise Health Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Haven Rise Health Care was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.