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

Karen Enneking, PMHNP-BC

Individual provider Gerontology Registered Nurse · NPI 1558841940

Karen Enneking, PMHNP-BC is a Nurse Practitioner in Mathews, Virginia. Qualified in 2017, 9 years ago. Practices with The Changing Tide Body, Mind and Spirit PC, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

10978 Buckley Hall Rd
Mathews, VA 23109
Phone: (047) 253-0418
Fax: (804) 725-3510
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 0024176017 (VA)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 0024176017 (VA)

Record details

NPI number1558841940
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Changing Tide Body, Mind And Spirit P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount