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

Hailegiorgis T. Bizuneh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417528225

Hailegiorgis T. Bizuneh is a Nurse Practitioner in Glen Allen, Virginia. Qualified in 2021, 5 years ago. Practices with Center for Internal Medicine Hyper Kidney Disease and Critical Care In, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021

Practice location Address checks out

11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565
Phone: (804) 593-5935
Fax: (804) 593-5977
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024181571 (VA)

Record details

NPI number1417528225
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2021
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Center For Internal Medicine Hyper Kidney Disease And Critical Care In — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Glen Allen