Individual provider Active NPI

Alexis Marie Inaman Misra

  • Family Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1154971216
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178200 Issued in VA
Practice address
120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone
(540) 382-3440
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178200 VA Primary

Addresses

Primary practice location

120 Akers Farm Rd
Christiansburg, VA 24073-4863

Mailing address

2132 River Oaks Dr
Salem, VA 24153-7368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amisra75904@direct.carilionclinic.org

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
I20200113001032 VA Practitioner - Nurse Practitioner 3375978752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-3440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Dec 30, 2019 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 30, 2019 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 30, 2019 Accepting new patients
Carilion Healthcare Corporation CurrentSince Dec 30, 2019 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients

Locations

120 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-3440

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: amisra75904@direct.carilionclinic.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1154971216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 RIVER OAKS DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "ALEXIS",
        "middle_name": "MARIE INAMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amisra75904@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "amisra75904@direct.carilionclinic.org",
            "address_1": "120 Akers Farm Rd",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240734863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.