Individual provider Active NPI

Julie S Simmerson, F.N.P.

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1285872713
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168082 Issued in VA
Practice address
6415 Peters Creek Rd
Roanoke, VA 24019
Phone
(540) 265-5500
Fax
(540) 265-5515
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 0024168082 VA Primary

Addresses

Primary practice location

6415 Peters Creek Rd
Roanoke, VA 24019

Mailing address

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (540) 265-5500

Other identifiers 1

IdentifierTypeStateIssuer
1285872713MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlegault12716@direct.carilionclinic.org Direct

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
I20090331000401 VA Practitioner - Nurse Practitioner 0143387464 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
Good Samaritan Hospice IncGroup PAC ID 2264430966, 5 clinicians

Practice addresses (Care Compare)

4751 Cove Rd NW
Roanoke, VA 24017-1138
Phone (540) 776-0198

Hospital & facility affiliations

  • Good Samaritan Hospice Inc Home health agency, Roanoke, VA, CCN 497818
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168082VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospice, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Good Samaritan Hospice, Inc. CurrentSince Dec 5, 2023 Accepting new patients

Locations

4751 Cove Rd NW
Roanoke, VA 24017
Phone (540) 293-3305

Interoperability endpoints

  • Direct secure messaging: jlegault12716@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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1285872713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194021",
            "telephone_number": "540-265-5500",
            "fax_number": "540-265-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24019",
            "telephone_number": "540-265-5500",
            "fax_number": "540-265-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERSON",
        "first_name": "JULIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285872713",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlegault12716@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "jlegault12716@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6415 Peters Creek Rd",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.