Individual provider Active NPI

Parrisa B Rupe, PA

  • Physician Assistant
  • Galax, VA
National Provider Identifier
1326486572
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004362 Issued in VA
Practice address
199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Phone
(276) 236-5181
Fax
(276) 236-3297
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004362 VA Primary

Addresses

Primary practice location

199 Hospital Dr
Suite 7
Galax, VA 24333-2454

Mailing address

199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Phone (276) 236-5181

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
I20131018000610 VA Practitioner - Physician Assistant 9739313107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1155 N 4TH St
Suite 502
Wytheville, VA 24382-1097
Phone (276) 227-0375

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

791 Fort Chiswell Rd
Max Meadows, VA 24360-4139
Phone (276) 637-6641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004362VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC CurrentSince Aug 15, 2016 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Aug 15, 2016 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

791 Fort Chiswell Rd
Ste A
Max Meadows, VA 24360
Phone (267) 637-6641

360 Virginia Ave
#B
Wytheville, VA 24382
Phone (276) 223-1430

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 223-1334

360 Virginia Ave
Wytheville, VA 24382
Phone (276) 228-0080

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

1995 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-1983

Interoperability endpoints

  • Direct secure messaging: parrisa.rupe.1@19847.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1326486572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 HOSPITAL DR",
            "address_2": "SUITE 7",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332454",
            "telephone_number": "276-236-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOSPITAL DR",
            "address_2": "SUITE 7",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332454",
            "telephone_number": "276-236-5181",
            "fax_number": "276-236-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPE",
        "first_name": "PARRISA",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.