Kelly Arendall Hill, RN, MSN, NP-A
Individual provider Active NPI Family Nurse Practitioner · Roanoke, VA
NPI 1669988986 · NPPES record last updated Aug 12, 2022
Key facts
- NPI
- 1669988986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024175697 (VA)
- Practice address
- 1111 S Jefferson St Ste B
Roanoke, VA 24016-4724 - Phone
- (540) 345-3556
- Fax
- (540) 342-2193
- NPI assigned
- Dec 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Access to Health Services Inc
Practice addresses (Care Compare)
705 Main St
Danville, VA 24541-1803
Phone (434) 791-4122
Hospital & facility affiliations
- Amedisys Home Health
- Sentara Halifax Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180205000482 | VA | Practitioner - Nurse Practitioner | 2668732090 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Access to Health Services, Inc | Current |
Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Universal Health Corporation | Current |
Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current |
Accepting new patients | |
| Piedmont Access to Health Services Inc | Current |
Accepting new patients |
Locations
380 Washington St
Boydton, VA 23917
Phone (434) 738-6102
30 S Main St
Chatham, VA 24531
Phone (434) 432-4443
336 Old Riverside Dr
Danville, VA 24541
Phone (434) 791-4125
705 Main St
Danville, VA 24541
Phone (434) 791-4122
315 Hospital Dr
Martinsville, VA 24112
Phone (276) 224-2655
1111 S Jefferson St
Ste B
Roanoke, VA 24016
Phone (540) 342-1007
1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094
2524 Hougton Ave
South Boston, VA 24592
103 Rosehill Dr
South Boston, VA 24592
Phone (434) 272-4201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175697 | VA | Yes |
Addresses
Primary practice location
1111 S Jefferson St Ste B
Roanoke, VA 24016-4724
Mailing address
PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556
Other practice location 1
5016 Quail Roost Rd
South Boston, VA 24592-2900
Phone (434) 272-1001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024175697 | Other | VA | STATE LICENSE |
NPI Registry JSON
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1669988986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8310",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240140310",
"telephone_number": "540-345-3556",
"fax_number": "540-342-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S JEFFERSON ST STE B",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164724",
"telephone_number": "540-345-3556",
"fax_number": "540-342-2193"
}
],
"practiceLocations": [
{
"address_1": "5016 Quail Roost Rd",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245922900",
"country_code": "US",
"telephone_number": "434-272-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "KELLY",
"middle_name": "ARENDALL",
"name_prefix": "Mrs.",
"credential": "RN, MSN, NP-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-22",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024175697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0024175697",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
- Hill-Rom Company, Inc.
- Danielle Yoder Hill
- Debby Via Hill
- Jennifer J Hill
- Judith M Hill
- Lindsey Hill
- Shannon Hill
- Sherri L Hill
- Stephen Laurence Hill
- Susan C Hill
All providers in Roanoke, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.