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

Leia Jo Gustin, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1417782996

Leia Jo Gustin, AGACNP is a Nurse Practitioner in Hampton, Virginia. Qualified in 2024, 2 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024

Practice location Address checks out

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone: (757) 367-2507
Fax: (757) 224-2198
Show map & directions

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

Additional practice locations (1)

  • 100 Sentara Cir, Williamsburg, VA 23188-5713 — (757) 736-7250

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024190296 (VA)

Record details

NPI number1417782996
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 4, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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