Individual provider Active NPI

Rachel Marie Hicks, MSN BSN RN AG-ACNP

  • Gerontology Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1083264782
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024178152 Issued in VA
Practice address
1234 Franklin Rd SW
Roanoke, VA 24016-4606
Phone
(540) 283-6000
Fax
(540) 342-2745
NPI assigned
Sep 13, 2019
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024178152 VA
Acute Care Nurse Practitioner 363LA2100X 0024178152 VA
Gerontology Nurse Practitioner 363LG0600X 0024178152 VA Primary

Addresses

Primary practice location

1234 Franklin Rd SW
Roanoke, VA 24016-4606

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rostberg122687@direct.carilionclinic.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200122000814 VA Practitioner - Nurse Practitioner 9234564238 Reassigns benefits to 5 organizations
I20251106001169 DC Practitioner - Nurse Practitioner 9234564238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Curana Health of Virginia LLCGroup PAC ID 6507119690, 45 clinicians
CH Specialty Services VA LLCGroup PAC ID 5890150031, 11 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

10900 Nuckols Rd
Suite 110
Glen Allen, VA 23060-9246
Phone (337) 991-9276

13700 Magna Way
Herndon, VA 20171-5444
Phone (337) 991-9276

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024178152VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jan 20, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 23, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 14, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 14, 2021 Accepting new patients
Curana Health of Virginia LLC Nurse Practitioner CurrentSince Jun 20, 2022 Accepting new patients
Psychogeriatric Services LLC Nurse Practitioner CurrentSince Dec 30, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 23, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jan 20, 2020 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114

10900 Nuckols Rd
Ste 110
Glen Allen, VA 23060
Phone (804) 396-6392

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

1234 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 283-6000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rostberg122687@direct.carilionclinic.org

Organizations & group practices 10

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 3

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1083264782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164606",
            "telephone_number": "540-283-6000",
            "fax_number": "540-342-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141838",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN BSN RN AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178152",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024178152",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024178152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rostberg122687@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "rostberg122687@direct.carilionclinic.org",
            "address_1": "1906 Belleview Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240141838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.