Individual provider Active NPI

Amanda Shull, NP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1548870660
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179664 Issued in VA
Practice address
2800 Electric Rd
Roanoke, VA 24018-3549
Phone
(540) 725-7600
NPI assigned
Aug 4, 2020
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 0024179664 VA Primary

Addresses

Primary practice location

2800 Electric Rd
Roanoke, VA 24018-3549

Mailing address

333 N Summit St FL 15
Toledo, OH 43604-1531

Other practice location 1

809 Thompson St
Ashland, VA 23005-1111
Phone (804) 929-4562

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
I20201029001321 VA Practitioner - Nurse Practitioner 7517377740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kare More Medical LLCGroup PAC ID 0244577906, 3 clinicians
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

3000 Skipwith Rd
Richmond, VA 23294-4144
Phone (804) 270-3990

385 Garrisonville Rd
Suite 205
Stafford, VA 22554-1599
Phone (815) 744-8554

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 27, 2020 Accepting new patients
Commonwealth Dermatology, PC Family CurrentSince Jan 11, 2021 Accepting new patients
Kare More Medical LLC Family CurrentSince Jun 1, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 27, 2020 Accepting new patients
Pinnacle Dermatology, SC CurrentSince Feb 1, 2026 Accepting new patients

Locations

809 Thompson St
Ashland, VA 23005
Phone (804) 929-4562

1985 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 373-6647

8644 Sudley Rd
#220
Manassas, VA 20110

7001 Forest Ave
Ste 400
Richmond, VA 23230
Phone (804) 282-0831

385 Garrisonville Rd
Ste 205
Stafford, VA 22554
Phone (540) 373-6647

Organizations & group practices 5

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 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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1548870660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 15",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183549",
            "telephone_number": "540-725-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230051111",
            "country_code": "US",
            "telephone_number": "804-929-4562",
            "fax_number": "804-500-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULL",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.