Individual provider Active NPI

McLendon Pruette McGhee, NP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1477186559
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178087 Issued in VA
Practice address
2013 Jefferson St SW FL 2
Roanoke, VA 24014-2419
Phone
(540) 982-0237
Fax
(540) 982-2719
NPI assigned
Feb 18, 2020
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 0024178087 VA Primary

Addresses

Primary practice location

2013 Jefferson St SW FL 2
Roanoke, VA 24014-2419

Mailing address

2013 Jefferson St SW FL 2
Roanoke, VA 24014-2419
Phone (540) 982-0237

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
I20200409003661 VA Practitioner - Nurse Practitioner 9537598644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2013 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 982-0237

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince May 2, 2020 Accepting new patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince May 2, 2020 Accepting new patients

Locations

1710 Whitfield Dr
Bedford, VA 24523
Phone (540) 586-0636

108 Houston St
Ste B
Lexington, VA 24450
Phone (540) 463-2227

1 Arh Ln
Ste 300
Low Moor, VA 24457
Phone (540) 862-6223

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

390 S Main St
Ste 103
Rocky Mount, VA 24151
Phone (540) 489-6522

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

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

Interoperability endpoints

  • Direct secure messaging: elizabeth.pruette@brcc.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1477186559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 JEFFERSON ST SW FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-982-0237",
            "fax_number": "540-982-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 JEFFERSON ST SW FL 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-982-0237",
            "fax_number": "540-982-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "MCLENDON",
        "middle_name": "PRUETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.