Individual provider Active NPI

Joshua Seth Prol

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1184294811
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024181677 Issued in VA
Practice address
2001 Colonial Ave SW
Roanoke, VA 24015-3210
Phone
(540) 342-1877
NPI assigned
Jun 25, 2021
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024181677 VA
Nurse Practitioner 363L00000X 0024181677 VA Primary

Addresses

Primary practice location

2001 Colonial Ave SW
Roanoke, VA 24015-3210

Mailing address

2000 Health Park Dr FL HP2
Brentwood, TN 37027-4692
Phone (615) 373-7600

Other practice location 1

4615 Huntridge Rd
Roanoke, VA 24012-8510
Phone (540) 977-0900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOSHUA.PROL@hca6.eclinicaldirectplus.com

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
I20211019000515 VA Practitioner - Nurse Practitioner 6901294297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

4615 Huntridge Rd
Roanoke, VA 24012-8510
Phone (540) 977-0900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024181677VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Gale Physicians LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2000 Health Park Dr
Fl HP2
Brentwood, TN 37027

4615 Huntridge Rd
Roanoke, VA 24012
Phone (540) 977-0900

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1184294811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COLONIAL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240153210",
            "telephone_number": "540-342-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Huntridge Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240128510",
            "country_code": "US",
            "telephone_number": "540-977-0900",
            "fax_number": "540-977-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROL",
        "first_name": "JOSHUA",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181677",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024181677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOSHUA.PROL@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4615 Huntridge Rd",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240128510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.