Individual provider Active NPI

Andrea D Harrelson, NP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1205081395
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167979 Issued in VA
Practice address
2118 Rosalind Ave SW
Roanoke, VA 24014-1718
Phone
(540) 981-7653
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 0024167979 VA Primary

Addresses

Primary practice location

2118 Rosalind Ave SW
Roanoke, VA 24014-1718

Mailing address

2118 Rosalind Ave SW
Roanoke, VA 24014-1718

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aharrelson3983@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
I20081114000201 VA Practitioner - Nurse Practitioner 1951461433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

4434 Electric Rd
Roanoke, VA 24018-0722
Phone (540) 853-0900

Hospital & facility affiliations

  • Carilion Home Care Services - Roanoke Home health agency, Roanoke, VA, CCN 497258
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Aug 25, 2008 Accepting new patients
Carilion Medical Center CurrentSince Aug 25, 2008 Accepting new patients

Locations

2001 Crystal Spring Ave SW
Ste 302
Roanoke, VA 24014
Phone (540) 981-7653

2118 Rosalind Ave SW
Roanoke, VA 24014
Phone (540) 344-3276

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: aharrelson3983@direct.carilionclinic.org

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.

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1205081395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 ROSALIND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 ROSALIND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141718",
            "telephone_number": "540-981-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "ANDREA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharrelson3983@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "aharrelson3983@direct.carilionclinic.org",
            "address_1": "2001 Crystal Spring Ave SW Ste 302",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240142465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.