WALLISA TEJARNETTE VAUGHN M.D.
NPI 1992990238
Family Medicine in Norfolk, VA

Active since September 10, 2007PECOS Enrolled
850 KEMPSVILLE RD STE 200A, NORFOLK, VA 23502(757) 261-5910 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 14, 2023, Feb 11, 2016 (2 updates tracked since 2016).

About Wallisa Tejarnette Vaughn M.d. NPPES

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

WALLISA TEJARNETTE VAUGHN M.D. (NPI 1992990238) is an individual family medicine provider in Norfolk, Virginia, licensed in Virginia (0101255299) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1992990238
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameWALLISA TEJARNETTE VAUGHNCredential: M.D.
Location Address850 KEMPSVILLE RD STE 200ANorfolk, VA 23502-3920
Mailing Address5060 Valley View Blvd NwRoanoke, VA 24012-2038 · (540) 278-1051
Sole ProprietorNo
Enumeration DateSeptember 10, 2007
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
NPI 1992990238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101255299
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

850 KEMPSVILLE RD STE 200A, Norfolk, VA 23502

Secondary Practice Location 1

Location 15060 Valley View Blvd NWRoanoke, VA 24012-2038 · Phone (540) 278-1051

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wallisa Tejarnette Vaughn M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Internal Medicine
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Internal Medicine
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Internal Medicine
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Internal Medicine
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Internal Medicine
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Physician Assistant
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Internal Medicine
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502
Social Worker (Clinical)
850 KEMPSVILLE RD STE 200A
NORFOLK, VA 23502

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 Wallisa Vaughn's NPI number?

The NPI number for Wallisa Vaughn is 1992990238. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Wallisa Vaughn located?

Wallisa Vaughn practices at 850 Kempsville Rd Ste 200A, Norfolk, VA 23502. The listed phone number is (757) 261-5910.

What is Wallisa Vaughn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wallisa Vaughn enrolled in Medicare?

Yes. Wallisa Vaughn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wallisa Vaughn was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.