Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anisa Merchant

Individual provider Administrator Registered Nurse · NPI 1457192825

Anisa Merchant is a Nurse Practitioner in Glen Allen, Virginia. Qualified in 2012, 14 years ago. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2024
Specialties on file
5

Practice location Address checks out

5620 Lake Sharon Dr
Glen Allen, VA 23060-6372
Phone: (817) 729-0428
Fax: (804) 585-1960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 0001236788 (VA)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 0001236788 (VA)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 0001236788 (VA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 0001236788 (VA)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 0001236788 (VA)

Record details

NPI number1457192825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2024
Last updated in NPPESJune 1, 2024
Certification dateMay 30, 2024
Mailing address5620 Lake Sharon Dr, Glen Allen, VA 23060-6372

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Glen Allen