Virginia Caroline Boardwine, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173795 Issued in VA

Practice address

1389 Dante Road
St. Paul, VA 24283-3658

Phone

(276) 467-2201

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Wise, VA, CCN 497288
• Home Nursing Company Inc Home health agency, Lebanon, VA, CCN 497414
• Russell County Hospital Hospital, Lebanon, VA, CCN 490002
• Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
• Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pioneer Family Medicine

  • Primary Care Nurse Practitioner
  • Lebanon, VA
  • NPI 1285342493

  VA

  Medicare reassignment NPD Authorized official
• St. Charles Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Vansant, VA
  • NPI 1801013354

  VA

  Medicare reassignment NPD
• St Charles Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • St Paul, VA
  • NPI 1710104260
  NPD
• St Charles Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Coeburn, VA
  • NPI 1942322003
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adoration Home Health Care Virginia LLC

  • Home Health Agency
  • Wise, VA
  • NPI 1962607192
  Care Compare affiliation
• Home Nursing Company, Inc

  • Home Health Agency
  • Lebanon, VA
  • NPI 1811992217
  Care Compare affiliation
• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684

  Hospital

  Care Compare affiliation
• Mountain States Health Alliance

  • General Acute Care Hospital
  • Lebanon, VA
  • NPI 1891973939

  Hospital

  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Big Stone Gap, VA
  • NPI 1801826912

  Hospital

  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1487690400

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1124574777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 DANTE ROAD",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "242833658",
            "telephone_number": "276-467-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3327 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "VA",
            "postal_code": "242833713",
            "country_code": "US",
            "telephone_number": "276-202-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOARDWINE",
        "first_name": "VIRGINIA",
        "middle_name": "CAROLINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon of Life Ambulance Service
• Candice M Bolling, P.A.-C
• Crystal E Burke, LCSW
• Anita Renee Davidson Coe, FNP-C
• Couch Home Medical
• Ernie'S Drug, Inc.

• All providers in St. Paul, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.