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

Mrs. Tania Jeanette Modeliste, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1346984606

Mrs. Tania Jeanette Modeliste, NURSEPRACTITIONER is a Nurse Practitioner in Newport News, Virginia. Qualified in 2019, 7 years ago. Practices with Pmr Virginia Holding LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Oregon and Virginia.

Years since qualifying
7
Licensed in
OR, VA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

48 Newmarket Sq
Newport News, VA 23605-2721
Phone: (757) 825-8030
Fax: (757) 847-9149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024183611 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F11210527 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 202205372NP-PP (OR)

Record details

NPI number1346984606
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pmr Virginia Holding Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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