Individual provider Active NPI

Ami Meyer

  • Family Nurse Practitioner
  • Rocky Mount, VA
National Provider Identifier
1104658368
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024195503 Issued in VA
Practice address
21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022
Phone
(540) 352-4000
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209030291 IL
Family Nurse Practitioner 363LF0000X 0024195503 VA Primary

Addresses

Primary practice location

21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022

Mailing address

21230 Virgil H Goode Hwy
Rocky Mount, VA 24151-4022
Phone (540) 352-4000

Other practice location 1

4005 Electric Rd Ste 200
Roanoke, VA 24018-8435
Phone (866) 260-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240923003863 IL Practitioner - Nurse Practitioner 9234670837 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209030291ILMDFamily Nurse Practitioner
0024195503VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Medical Center CurrentSince Jan 30, 2025 Accepting new patients
Kirby Medical Center CurrentSince Jan 30, 2025 Accepting new patients
Carle West Physician Group Inc CurrentSince Sep 10, 2024 Accepting new patients
Agenacare Urgent Care PastSince Oct 1, 2022 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: ameyer259538@carlehiedirect.net

Organizations & group practices 4

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1104658368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21230 VIRGIL H GOODE HWY",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241514022",
            "telephone_number": "540-352-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 VIRGIL H GOODE HWY",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241514022",
            "telephone_number": "540-352-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Electric Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240188435",
            "country_code": "US",
            "telephone_number": "866-260-2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "AMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.