Individual provider Active NPI

Celia Lea McCauley-Wittl, DNP, FNP-BC, PMHNP

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1124666078
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024180182 Issued in VA
Practice address
402 Campbell Ave SW
Roanoke, VA 24016-3627
Phone
(540) 400-7431
Fax
(540) 400-7091
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001231524 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180182 VA
Nurse Practitioner 363L00000X 0024180182 VA Primary

Addresses

Primary practice location

402 Campbell Ave SW
Roanoke, VA 24016-3627

Mailing address

PO Box 541
Roanoke, VA 24003-0541
Phone (540) 765-8696

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
I20210223000377 VA Practitioner - Nurse Practitioner 6406190669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Resource LLCGroup PAC ID 9638413883, 4 clinicians

Practice addresses (Care Compare)

402 Campbell Ave SW
Roanoke, VA 24016-3627
Phone (540) 400-7431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001231524VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Resource LLC CurrentSince Nov 18, 2017 Accepting new patients
Mind Garden Roanoke PLLC CurrentSince Apr 3, 2022 Accepting new patients

Locations

402 Campbell Ave SW
Roanoke, VA 24016
Phone (540) 400-7431

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1124666078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240030541",
            "telephone_number": "540-765-8696",
            "fax_number": "540-400-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163627",
            "telephone_number": "540-400-7431",
            "fax_number": "540-400-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY-WITTL",
        "first_name": "CELIA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001231524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180182",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.