Individual provider Active NPI

Mikiko Chasin, FNP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1609694777
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185955 Issued in VA
Practice address
6541 Rolling Brook Rd Apt 105-11
Roanoke, VA 24019-1452
Phone
(828) 351-6000
Fax
(828) 287-7436
NPI assigned
Sep 28, 2024
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 0024185955 VA Primary

Addresses

Primary practice location

6541 Rolling Brook Rd Apt 105-11
Roanoke, VA 24019-1452

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 351-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20241202002557 DC Practitioner - Nurse Practitioner 1658806542 Reassigns benefits to 2 organizations
I20250115000572 VA Practitioner - Nurse Practitioner 1658806542 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
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Minuteclinic Primary Care - Virginia PLLCGroup PAC ID 7012425085, 12 clinicians

Practice addresses (Care Compare)

110 Edds LN
Sterling, VA 20165-5683
Phone (866) 389-2727

13031 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2050
Phone (866) 389-2727

1636 Belle View Blvd
Alexandria, VA 22307-6531
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care - Virginia PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Nov 7, 2024 Accepting new patients
Wound Care Specialists CurrentSince May 4, 2026 Accepting new patients

Locations

112 Sparks Dr
Forest City, NC 28043
Phone (704) 675-7279

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030

10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

110 Edds Ln
Sterling, VA 20165
Phone (703) 444-1115

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1609694777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 ROLLING BROOK RD APT 105-11",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240191452",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASIN",
        "first_name": "MIKIKO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.