Individual provider Active NPI

Sarah E Prol, AGPCNP-BC

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1437500717
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173679 Issued in VA
Practice address
2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462
Phone
(540) 982-8204
Fax
(540) 224-1059
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024173679 VA
Gerontology Nurse Practitioner 363LG0600X 0024173679 VA
Primary Care Nurse Practitioner 363LP2300X 0024173679 VA
Nurse Practitioner 363L00000X 0024173679 VA Primary

Addresses

Primary practice location

2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

5261 Carrollton Pike Ste E
Woodlawn, VA 24381
Phone (276) 601-6197

Other names 1

  • Sarah E Bean 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
I20161005000864 VA Practitioner - Nurse Practitioner 8325336423 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

2001 Crystal Spring Swave
Suite 203
Roanoke, VA 24014-2465
Phone (540) 853-0755

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173679VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsford Physician Services, LLC Nurse Practitioner CurrentSince Jul 1, 2018 Accepting new patients
Carilion Medical Center CurrentSince Nov 14, 2022 Accepting new patients
Wildwood Physician Services, LLC Nurse Practitioner CurrentSince Jul 1, 2018 Accepting new patients
Carilion Medical Center CurrentSince Nov 14, 2022 Accepting new patients
Lake Spring Physician Services, LLC Nurse Practitioner CurrentSince Jul 1, 2018 Accepting new patients
Elite Urgent Care PLLC PastSince Dec 2, 2022 Accepting new patients

Locations

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

2001 Crystal Spring Ave SW
Roanoke, VA 24014
Phone (540) 344-5781

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2001 Crystal Spring Ave SW
Ste 203
Roanoke, VA 24014
Phone (540) 853-0755

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: sprol157635@direct.carilionclinic.org

Organizations & group practices 6

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 1

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1437500717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142462",
            "telephone_number": "540-982-8204",
            "fax_number": "540-224-1059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5261 Carrollton Pike Ste E",
            "address_purpose": "LOCATION",
            "city": "Woodlawn",
            "state": "VA",
            "postal_code": "24381",
            "country_code": "US",
            "telephone_number": "276-601-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROL",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024173679",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024173679",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024173679",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BEAN",
            "middle_name": "E",
            "credential": "AGPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.