Individual provider Active NPI

Kelsey Michelle Sinor, NP-BC

  • Family Nurse Practitioner
  • Dublin, VA
National Provider Identifier
1053131144
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191461 Issued in VA
Practice address
4550 Lee Hwy Ste B
Dublin, VA 24084-3802
Phone
(540) 674-4560
NPI assigned
Oct 14, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024191461 VA Primary

Addresses

Primary practice location

4550 Lee Hwy Ste B
Dublin, VA 24084-3802

Mailing address

5936 Crumpacker Dr
Roanoke, VA 24012-8836
Phone (214) 729-7125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113003804 VA Practitioner - Nurse Practitioner 0547798944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospice IncGroup PAC ID 2264430966, 5 clinicians

Practice addresses (Care Compare)

4751 Cove Rd NW
Roanoke, VA 24017-1138
Phone (540) 776-0198

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospice, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Good Samaritan Hospice, Inc. CurrentSince Jun 12, 2025 Accepting new patients

Locations

4751 Cove Rd NW
Roanoke, VA 24017
Phone (540) 293-3305

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1053131144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 CRUMPACKER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128836",
            "telephone_number": "214-729-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 LEE HWY STE B",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843802",
            "telephone_number": "540-674-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINOR",
        "first_name": "KELSEY",
        "middle_name": "MICHELLE",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.