NPIMap

Individual provider Active NPI

Kelly Arendall Hill, RN, MSN, NP-A

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1669988986
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175697 Issued in 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
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 0024175697 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180205000482 VA Practitioner - Nurse Practitioner 2668732090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Access to Health Services IncGroup PAC ID 3476512427, shared by 12 NPIs, 37 clinicians

Practice addresses (Care Compare)

705 Main St
Danville, VA 24541-1803
Phone (434) 791-4122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024175697VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Access to Health Services, Inc CurrentSince Apr 1, 2024 Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Apr 1, 2024 Accepting new patients
Universal Health Corporation CurrentSince Jul 6, 2022 Accepting new patients
Piedmont Access to Health Services Inc CurrentSince Apr 1, 2024 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) 403-4733

1111 S Jefferson St
Ste B
Roanoke, VA 24016
Phone (540) 342-1007

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

103 Rosehill Dr
South Boston, VA 24592
Phone (434) 272-4201

2524 Hougton Ave
South Boston, VA 24592

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 7

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.