Individual provider Active NPI

Jan D Rasnake, FNP

  • Family Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1356651897
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164227 Issued in VA
Practice address
1785 W. Lee Hwy
Wytheville, VA 24382
Phone
(276) 228-6499
Fax
(276) 228-6145
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 0024164227 VA Primary

Addresses

Primary practice location

1785 W. Lee Hwy
Wytheville, VA 24382

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other identifiers 1

IdentifierTypeStateIssuer
1356651897MedicaidVA

Other names 1

  • Melissa Jan Doane Former name

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
I20110503000515 VA Practitioner - Nurse Practitioner 2668657818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

1785 W Lee Hwy
Wytheville, VA 24382-1437
Phone (276) 228-6499

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Hospital & facility affiliations

  • Wythe Circle Home Care Home health agency, Wytheville, VA, CCN 497094
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Wythe County Community Hospital Hospital, Wytheville, VA, CCN 490111
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Oct 4, 2011 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 4, 2011 Accepting new patients
Forest Family Care, Inc CurrentSince Mar 6, 2023 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Apr 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

1785 W Lee Hwy
Wytheville, VA 24382
Phone (276) 228-6499

Organizations & group practices 8

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1356651897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W. LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "24382",
            "telephone_number": "276-228-6499",
            "fax_number": "276-228-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNAKE",
        "first_name": "JAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356651897",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DOANE",
            "middle_name": "JAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.