Individual provider Active NPI

Virginia Ann Robine, D.O.

  • Family Medicine Physician
  • Independence, MO
National Provider Identifier
1144254582
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7N57 Issued in MO
Practice address
11605 E 23Rd St S
Independence, MO 64050-4201
Phone
(816) 579-6891
Fax
(816) 579-6892
NPI assigned
Jul 10, 2006
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7N57 MO Primary
Family Medicine Physician 207Q00000X DO2754 NV

Addresses

Primary practice location

11605 E 23Rd St S
Independence, MO 64050-4201

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

6380 N Decatur Blvd Ste 215
Las Vegas, NV 89130-8004
Phone (702) 948-1145

Other identifiers 3

IdentifierTypeStateIssuer
DO2754OtherNVSTATE LICENSE
1144254582MedicaidNV
R7N57OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100915000227 MO Practitioner - Family Practice 5698713006 Reassigns benefits to 2 organizations
I20231122000647 NV Practitioner - Family Practice 5698713006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone (702) 871-5005

6380 N Decatur Blvd
Suite 215
Las Vegas, NV 89130-8004
Phone (702) 948-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R7N57MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Kansas, P.a. CurrentSince Oct 17, 2025 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
Family Care of E. Jackson County LLC Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Nov 13, 2023 Accepting new patients
Intermountain Medical Holding Nevada, Inc. PastSince Feb 18, 2024 Accepting new patients

Locations

725 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 229-8187

199 N Florissant Rd
Ferguson, MO 63135
Phone (314) 449-9640

11605 E 23rd St S
Independence, MO 64050
Phone (816) 579-6891

4200 Little Blue Pkwy
Ste 300
Independence, MO 64057
Phone (816) 353-2700

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

6380 N Decatur Blvd
Ste 215
Las Vegas, NV 89130
Phone (702) 438-4003

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1144254582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640504201",
            "telephone_number": "816-579-6891",
            "fax_number": "816-579-6892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6380 N Decatur Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891308004",
            "country_code": "US",
            "telephone_number": "702-948-1145",
            "fax_number": "702-949-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINE",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7N57",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO2754",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144254582",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R7N57",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.