Individual provider Active NPI

Juliana Lea Rollo, FNP

  • Family Nurse Practitioner
  • Madison, WV
National Provider Identifier
1083338875
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113950 Issued in WV
Practice address
701 Madison Ave
Madison, WV 25130-1699
Phone
(304) 369-1230
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113950 WV
Family Nurse Practitioner 363LF0000X 113950 WV Primary

Addresses

Primary practice location

701 Madison Ave
Madison, WV 25130-1699

Mailing address

701 Madison Ave
Madison, WV 25130-1699
Phone (304) 369-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20221220000191 WV Practitioner - Nurse Practitioner 2264801901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psi Med IncGroup PAC ID 9335199843, 8 clinicians
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

100 Peyton Way
Suite 200
Charleston, WV 25309-8545
Phone (681) 265-9047

697 Madison Ave
Suite 101
Madison, WV 25130
Phone (304) 369-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113950WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Psimed, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Links LLC Past Accepting new patients

Locations

1520 Kanawha Blvd E
Charleston, WV 25311
Phone (681) 265-9047

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

100 Peyton Way
Ste 200
South Charleston, WV 25309
Phone (904) 638-6147

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/boonemh-81155461

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1083338875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301699",
            "telephone_number": "304-369-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301699",
            "telephone_number": "304-369-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLO",
        "first_name": "JULIANA",
        "middle_name": "LEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "113950",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

Verify at the official NPI Registry.