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

Last updated

Mar 26, 2026By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pioneer Family Medicine

  • Primary Care Nurse Practitioner
  • Lebanon, VA
  • NPI 1285342493
  Medicare reassignment NPD Authorized official
• St. Charles Health Council Inc

  dba Thompson Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vansant, VA
  • NPI 1801013354
  Medicare reassignment NPD
• St Charles Health Council Inc

  dba William A Davis Clinic

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

  dba Coeburn Family Health Center

  • 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

  dba Adoration Home Health

  • 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
  Care Compare affiliation
• Mountain States Health Alliance

  dba Russell County Hospital

  • General Acute Care Hospital
  • Lebanon, VA
  • NPI 1891973939
  Care Compare affiliation
• Wellmont Health System

  dba Lonesome Pine Hospital

  • General Acute Care Hospital
  • Big Stone Gap, VA
  • NPI 1801826912
  Care Compare affiliation
• Wellmont Health System

  dba Holston Valley Medical Center

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

• Family Nurse Practitioner in Saint Paul, VA
• Providers in Saint Paul, VA by specialty
• 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.