Active NPI
Virginia Ann Robine, D.O.
- Family Medicine Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R7N57
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO2754 | Other | NV | STATE LICENSE |
| 1144254582 | Medicaid | NV | |
| R7N57 | Other | MO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| R7N57 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Kansas, P.a. | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | Accepting new patients |
| Family Care of E. Jackson County LLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Intermountain Medical Holding Nevada, Inc. | Past | 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.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
- Internal Medicine Physician
- Ferguson, MO
- NPI 1083289086
-
- Family Medicine Physician
- Blue Springs, MO
- NPI 1326094632
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
dba Palace Station Medical Center
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1760246342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.