Active NPI
Julie S Simmerson, F.N.P.
- Family Nurse Practitioner
- Roanoke, VA
National Provider Identifier
1285872713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168082
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285872713 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
4751 Cove Rd NW
Roanoke, VA 24017-1138
Phone (540) 776-0198
Hospital & facility affiliations
- Good Samaritan Hospice Inc
- Lewisgale Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168082 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospice, Inc. | Current | Accepting new patients | |
| Good Samaritan Hospice, Inc. | Current | Accepting new patients |
Locations
4751 Cove Rd NW
Roanoke, VA 24017
Phone (540) 293-3305
Interoperability endpoints
- 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.
-
- Community Based Hospice Care Agency
- Roanoke, VA
- NPI 1548268923
-
- Home Health Agency
- Roanoke, VA
- NPI 1598508608
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roanoke, VA
- NPI 1598508608
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.