Tidewater Anesthesia Inc
NPI 1063583722 · Certified Registered Nurse Anesthetist · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Anesthesia Inc is a Certified Registered Nurse Anesthetist organization in Virginia Beach, VA (NPI 1063583722).
Provider details
- NPI number
- 1063583722
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Marsha Edwards, President(757) 403-6728
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-05-20
- Certified
- 2020-05-20
Frequently asked questions
- What is Tidewater Anesthesia Inc's NPI number?
- Tidewater Anesthesia Inc's National Provider Identifier (NPI) is 1063583722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Anesthesia Inc?
- Tidewater Anesthesia Inc is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tidewater Anesthesia Inc located?
- Tidewater Anesthesia Inc's practice location on file with NPPES is 1200 First Colonial Rd, Virginia Beach, VA 23454-2207.
- What is Tidewater Anesthesia Inc's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Anesthesia Inc is (888) 209-0305.
- Does Tidewater Anesthesia Inc accept Medicare?
- Tidewater Anesthesia Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidewater Anesthesia Inc?
- The authorized official listed on Tidewater Anesthesia Inc's NPPES record is Marsha Edwards, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Anesthesia Inc's NPI active?
- Yes — Tidewater Anesthesia Inc's NPI (1063583722) is active in the NPPES registry as of the last update on 2020-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.