Active NPI
Ami Meyer
- Family Nurse Practitioner
- Rocky Mount, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024195503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240923003863 | IL | Practitioner - Nurse Practitioner | 9234670837 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209030291 | IL | MD | Family Nurse Practitioner |
| 0024195503 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Agenacare Urgent Care | Past | 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
- 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.
-
- Community/Retail Pharmacy
- Monticello, IL
- NPI 1568074714
-
- Urgent Care Clinic/Center
- Rocky Mount, VA
- NPI 1144947508
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.