Individual provider Active NPI

Ashley W Woltz, FNP-C

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1184421901
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024194159 Issued in VA
Practice address
130 Church Ave SW
Roanoke, VA 24011-1906
Phone
(540) 823-1324
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001280593 VA
Family Nurse Practitioner 363LF0000X 0024194159 VA Primary

Addresses

Primary practice location

130 Church Ave SW
Roanoke, VA 24011-1906

Mailing address

1103 Snow Hill Rd
Alton, VA 24520-3139

Other practice location 1

2100 Wilborn Ave
South Boston, VA 24592-1628
Phone (434) 517-8022

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
I20260128001040 VA Practitioner - Nurse Practitioner 5294213609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

184 Buffalo Rd
Clarksville, VA 23927-9010
Phone (540) 769-3964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001280593VAMDRegistered Nurse
0024194159VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Dec 1, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Jan 28, 2026 Accepting new patients

Locations

184 Buffalo Rd
Clarksville, VA 23927
Phone (434) 206-3100

130 Church Ave SW
Roanoke, VA 24011

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

103 Rosehill Dr
South Boston, VA 24592
Phone (434) 272-4201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1184421901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SNOW HILL RD",
            "city": "ALTON",
            "state": "VA",
            "postal_code": "245203139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CHURCH AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111906",
            "telephone_number": "540-823-1324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Wilborn Ave",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245921628",
            "country_code": "US",
            "telephone_number": "434-517-8022",
            "fax_number": "434-517-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLTZ",
        "first_name": "ASHLEY",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001280593",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.