Individual provider Active NPI

Michelle Cenerizio, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1629410204
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024188823 Issued in VA
Practice address
1345 Plantation Rd NE
Roanoke, VA 24012-5712
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Jul 23, 2013
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 232564 GA
Registered Nurse 163W00000X RN232564 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188823 VA Primary

Addresses

Primary practice location

1345 Plantation Rd NE
Roanoke, VA 24012-5712

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302
Phone (434) 263-4000

Other practice location 2

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20130906000268 GA Practitioner - Nurse Practitioner 0840433041 Reassigns benefits to 1 organization
I20240304002556 VA Practitioner - Nurse Practitioner 0840433041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians
Blue Ridge Health Center IncGroup PAC ID 9739082520, 20 clinicians

Practice addresses (Care Compare)

1345 Plantation Rd NE
Roanoke, VA 24012-5712
Phone (833) 510-4357

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN232564GAMDRegistered Nurse
232564GAMDPsychiatric/Mental Health Nurse Practitioner
0024188823VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health Center Inc CurrentSince May 15, 2025 Accepting new patients
Blue Ridge Health Center Inc CurrentSince May 15, 2025 Accepting new patients
Brightview LLC CurrentSince Jan 26, 2026 Accepting new patients
Personal Recovery Network LLC CurrentSince Aug 12, 2021 Accepting new patients
Brightview LLC CurrentSince Jan 26, 2026 Accepting new patients
Lighthorse Healthcare Inc. Past Accepting new patients

Locations

117 Governors Sq
Ste Bd
Peachtree City, GA 30269
Phone (470) 661-0890

125 Governors Sq
Ste Ad
Peachtree City, GA 30269
Phone (678) 423-5500

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

3704 Old Forest Rd
Lynchburg, VA 24501

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

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, 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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1629410204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 PLANTATION RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125712",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4038 Thomas Nelson Hwy",
            "address_purpose": "LOCATION",
            "city": "Arrington",
            "state": "VA",
            "postal_code": "229222302",
            "country_code": "US",
            "telephone_number": "434-263-4000",
            "fax_number": "434-263-4160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Rivermont Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245032030",
            "country_code": "US",
            "telephone_number": "434-200-5999",
            "fax_number": "434-200-1673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENERIZIO",
        "first_name": "MICHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "232564",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN232564",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.