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

Meagan Ethridge, NP

Individual provider Acute Care Nurse Practitioner · NPI 1023817269

Meagan Ethridge, NP is a Nurse Practitioner in Suffolk, Virginia. Qualified in 2025, 1 year ago. Practices with Peninsula Cancer Institute, LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

5839 Harbor View Blvd Ste 100A
Suffolk, VA 23435-3797
Phone: (757) 397-4200
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 000001143958 (VA)

Record details

NPI number1023817269
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESApril 26, 2025
Certification dateApril 26, 2025
Mailing address5839 Harbour View Blvd Ste 100, Suffolk, VA 23435-3797

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Peninsula Cancer Institute, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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