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

Tina Nelson

Individual provider Family Nurse Practitioner · NPI 1497580765

Tina Nelson is a Nurse Practitioner in Glen Allen, Virginia. Qualified in 2024, 2 years ago. Practices with Retreat Cardiology LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

11551 Nuckols Rd
Glen Allen, VA 23059-5565
Phone: (804) 426-6913
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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 0024191126 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024191126 (VA)

Record details

NPI number1497580765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address14544 Foxford Ln, Glen Allen, VA 23059-1567

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 Retreat Cardiology Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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