Individual provider Active NPI

Shannen Elaine Plaster, FNP-C

  • Family Nurse Practitioner
  • Blacksburg, VA
National Provider Identifier
1477226975
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181622 Issued in VA
Practice address
215 Gilbert St
Blacksburg, VA 24060-3305
Phone
(540) 961-8040
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 0024181622 VA Primary

Addresses

Primary practice location

215 Gilbert St
Blacksburg, VA 24060-3305

Mailing address

5181 Crumpacker Dr
Roanoke, VA 24019-6055
Phone (336) 409-1357

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
I20211115000699 VA Practitioner - Nurse Practitioner 1658760590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

1 Riverside Cir
Roanoke, VA 24016-4962
Phone (540) 224-5170

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181622VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jun 18, 2023 Accepting new patients
Carilion Medical Center CurrentSince Jun 18, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 7, 2021 Accepting new patients
Carilion Emergency Services, Inc. CurrentSince Nov 7, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 7, 2021 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

215 Gilbert St
Blacksburg, VA 24060
Phone (540) 961-8040

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

46 Wesley Rd
Daleville, VA 24083
Phone (540) 591-9440

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

1 Riverside Cir
Ste 300M
Roanoke, VA 24016
Phone (540) 581-0160

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

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

4035 Electric Rd
Ste A
Roanoke, VA 24018
Phone (540) 772-8670

1935 W Main St
Salem, VA 24153
Phone (540) 302-0190

Interoperability endpoints

  • Direct secure messaging: sschucker53089@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 3

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1477226975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5181 CRUMPACKER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196055",
            "telephone_number": "336-409-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GILBERT ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603305",
            "telephone_number": "540-961-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "SHANNEN",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.