Individual provider Active NPI

Raegan Mae McGrady, DNP, FNP-BC

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1093430753
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185149 Issued in VA
Practice address
1111 S Jefferson St Ste B
Roanoke, VA 24016-4724
Phone
(540) 769-3964
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 0024185149 VA Primary

Addresses

Primary practice location

1111 S Jefferson St Ste B
Roanoke, VA 24016-4724

Mailing address

1832 Peppers Ferry Rd
Pulaski, VA 24301-3004
Phone (540) 230-1290

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
I20221201002324 VA Practitioner - Nurse Practitioner 1850769498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Xpress Care LLCGroup PAC ID 5496063091, 16 clinicians

Practice addresses (Care Compare)

5275 Alexander Rd
Suite a
Dublin, VA 24084-3657
Phone (540) 960-2231

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Xpress Care LLC CurrentSince Jul 1, 2024 Accepting new patients
Universal Health Corporation CurrentSince Nov 1, 2022 Accepting new patients
Wvva Health Care Alliance, PC Past Accepting new patients

Locations

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

5275 Alexander Rd
Ste A
Dublin, VA 24084
Phone (540) 307-5597

1111 S Jefferson St
Ste B
Roanoke, VA 24016
Phone (540) 342-1007

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

1100 9th St
Ste E
Vienna, WV 26105

Organizations & group practices 3

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 2

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1093430753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 PEPPERS FERRY RD",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243013004",
            "telephone_number": "540-230-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S JEFFERSON ST STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164724",
            "telephone_number": "540-769-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADY",
        "first_name": "RAEGAN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.