Your Nurse Practitioner PLLC
NPI 1801489711 · Psychiatric/Mental Health Nurse Practitioner · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Your Nurse Practitioner PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Virginia Beach, VA (NPI 1801489711).
Provider details
- NPI number
- 1801489711
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sandra Nichols, Ceo(757) 251-0879
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Family Nurse Practitioner363LF0000X
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Panacea Behavioral Health & Wellness Center
Additional practice locations (2)
- 1611 E Joy Ln Ste 1Fort Mohave, AZ 86426-8940Phone: (757) 251-0879Fax: (984) 220-9437
- 857 E Park AveTallahassee, FL 32301-2620Phone: (757) 251-0879Fax: (984) 220-9437
Registry dates
- Enumerated
- 2021-02-11
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Frequently asked questions
- What is Your Nurse Practitioner PLLC's NPI number?
- Your Nurse Practitioner PLLC's National Provider Identifier (NPI) is 1801489711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Your Nurse Practitioner PLLC?
- Your Nurse Practitioner PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Your Nurse Practitioner PLLC located?
- Your Nurse Practitioner PLLC's practice location on file with NPPES is 4360 Shore Dr Ste 101, Virginia Beach, VA 23455-2994.
- What is Your Nurse Practitioner PLLC's phone number?
- The practice phone number listed in the NPPES registry for Your Nurse Practitioner PLLC is (757) 251-0879.
- Does Your Nurse Practitioner PLLC accept Medicare?
- Your Nurse Practitioner PLLC 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 Your Nurse Practitioner PLLC?
- The authorized official listed on Your Nurse Practitioner PLLC's NPPES record is Sandra Nichols, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Your Nurse Practitioner PLLC's NPI active?
- Yes — Your Nurse Practitioner PLLC's NPI (1801489711) is active in the NPPES registry as of the last update on 2026-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.