Individual provider Active NPI

Sherri Gail Houle, APRN

  • Gerontology Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1295377620
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024183167 Issued in VA
Practice address
2840 Electric Rd SW
Suite 106a
Roanoke, VA 24018-3551
Phone
(540) 765-3609
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024183167 VA
Nurse Practitioner 363L00000X APRN11004673 FL
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 0024183167 VA Primary

Addresses

Primary practice location

2840 Electric Rd SW
Suite 106a
Roanoke, VA 24018-3551

Mailing address

333 N Summit St FL 15
Toledo, OH 43604-2615
Phone (540) 765-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220202002604 VA Practitioner - Nurse Practitioner 3375936966 Reassigns benefits to 5 organizations
I20220324000529 TN Practitioner - Nurse Practitioner 3375936966 Reassigns benefits to 1 organization
I20220325000534 FL Practitioner - Nurse Practitioner 3375936966

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Palliative of Virginia LLCGroup PAC ID 9638572407, 6 clinicians

Practice addresses (Care Compare)

714 Thimble Shoals Blvd
Suite C
Newport News, VA 23606-2574
Phone (757) 330-8050

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024183167VAMDNurse Practitioner
0024181698VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospice, Inc. CurrentSince Oct 8, 2024 Accepting new patients
Physical Medicine Associates, LTD CurrentSince Feb 3, 2024 Accepting new patients
Physical Medicine Associates, LTD Multi-Specialty CurrentSince Feb 3, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Multi-Specialty CurrentSince Jan 5, 2024 Accepting new patients
Signify Health, LLC Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Good Samaritan Hospice, Inc. Multi-Specialty CurrentSince Oct 8, 2024 Accepting new patients
Affinity Palliative of Virginia LLC Multi-Specialty CurrentSince Jul 2, 2025 Accepting new patients
Affinity Care of Virginia LLC CurrentSince Jul 2, 2025 Accepting new patients

Locations

L2540
Columbus, OH 43260

333 N Summit St
Fl 15
Toledo, OH 43604
Phone (419) 252-5530

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262

714 Thimble Shoals Blvd
Ste C
Newport News, VA 23606
Phone (757) 330-8050

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

2408 Electric Rd
Roanoke, VA 24018
Phone (540) 776-0198

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

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

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1295377620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 15",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "540-765-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 ELECTRIC RD SW",
            "address_2": "SUITE 106A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183551",
            "telephone_number": "540-765-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "SHERRI",
        "middle_name": "GAIL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024183167",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11004673",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024183167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.