Individual provider Active NPI

Misty Spring Queen, DNP, FNP-BC

  • Family Nurse Practitioner
  • Blacksburg, VA
National Provider Identifier
1245838267
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180200 Issued in VA
Practice address
901 Plantation Rd
Blacksburg, VA 24060-3880
Phone
(540) 951-0352
Fax
(540) 951-7724
NPI assigned
Oct 12, 2020
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 0024180200 VA Primary

Addresses

Primary practice location

901 Plantation Rd
Blacksburg, VA 24060-3880

Mailing address

118 Broad St
Dublin, VA 24084-3211
Phone (540) 674-8805

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
I20210311000561 VA Practitioner - Nurse Practitioner 4284040569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

701 Randolph St
Suite 110
Radford, VA 24141-3047
Phone (540) 639-5690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024180200VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Mar 29, 2021 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 29, 2021 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 29, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 29, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 29, 2021 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 29, 2021 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 29, 2021 Accepting new patients
Carilion Medical Center CurrentSince Mar 29, 2021 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

901 Plantation Rd
Blacksburg, VA 24060
Phone (540) 557-5785

118 Broad St
Dublin, VA 24084
Phone (540) 674-5244

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

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

701 Randolph St
Ste 110
Radford, VA 24141
Phone (540) 633-9329

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

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

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: mqueen53827@direct.carilionclinic.org

Organizations & group practices 9

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1245838267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROAD ST",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843211",
            "telephone_number": "540-674-8805",
            "fax_number": "540-674-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PLANTATION RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603880",
            "telephone_number": "540-951-0352",
            "fax_number": "540-951-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "MISTY",
        "middle_name": "SPRING",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.