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

Susan Peralta

Individual provider Nurse Practitioner · NPI 1649145426

Susan Peralta is a Nurse Practitioner in Portsmouth, Virginia. Qualified in 2025, 1 year ago. Practices with Tidewater Neurologists Inc PC, a 6-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

3235 Academy Ave Ste 305
Portsmouth, VA 23703-3200
Phone: (757) 686-9300
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024194318 (VA)

Record details

NPI number1649145426
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200

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 Tidewater Neurologists Inc Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portsmouth