Individual provider Active NPI

Michele Meinhart, FNP

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1447235510
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024125718 Issued in VA
Practice address
4910 Valley View Blvd.
Roanoke, VA 24012
Phone
(540) 265-1604
Fax
(540) 265-1684
NPI assigned
Dec 13, 2005
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024125718 VA Primary

Addresses

Primary practice location

4910 Valley View Blvd.
Roanoke, VA 24012

Mailing address

218 W Main St
Salem, VA 24153-3614
Phone (540) 389-0110

Other identifiers 3

IdentifierTypeStateIssuer
1447235510MedicaidVA
P00062019OtherMEDICARE RAILROAD
010038278MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031204000383 VA Practitioner - Nurse Practitioner 0244143188 Reassigns benefits to 1 organization
I20240521003618 TX Practitioner - Nurse Practitioner 0244143188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starkey Skin LLCGroup PAC ID 4789823147, 2 clinicians
Dr. Rogers Medical Group PAGroup PAC ID 7315907565, 7 clinicians

Practice addresses (Care Compare)

12045 US Hwy 87 S
Adkins, TX 78101-1811
Phone (210) 818-8537

218 W Main St
Salem, VA 24153-3614
Phone (540) 389-0110

2838 N Loop 1604 E
104 Dr. Rogers Wellness
San Antonio, TX 78232-1712
Phone (210) 495-2117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024125718VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starkey Skin LLC CurrentSince Feb 7, 2013 Accepting new patients
Dr Rogers Medical Group PA. CurrentSince Apr 14, 2024 Accepting new patients
Long Term Care of America-Virginia, Inc. Past Accepting new patients
Starkey Medical Past Accepting new patients

Locations

12045 US Highway 87 S
Adkins, TX 78101
Phone (210) 818-8537

12045 US Highway 87 S
Ste 10
Adkins, TX 78101

24200 Ih 10 W
Ste 107
San Antonio, TX 78257
Phone (210) 495-2117

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232
Phone (210) 495-2117

5539 W Loop 1604 N
Ste 10
San Antonio, TX 78253
Phone (210) 403-9400

218 W Main St
Salem, VA 24153
Phone (540) 389-0110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFGBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1447235510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533614",
            "telephone_number": "540-389-0110",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VALLEY VIEW BLVD.",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012",
            "telephone_number": "540-265-1604",
            "fax_number": "540-265-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINHART",
        "first_name": "MICHELE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024125718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447235510",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00062019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010038278",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.