Individual provider Active NPI

Star Michelle Roe, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Barboursville, WV
National Provider Identifier
1790393577
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107018 Issued in WV
Practice address
6171 Childers Rd
Barboursville, WV 25504-1227
Phone
(304) 733-5380
Fax
(304) 733-5796
NPI assigned
Jul 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 107018 WV Primary

Addresses

Primary practice location

6171 Childers Rd
Barboursville, WV 25504-1227

Mailing address

6171 Childers Rd
Barboursville, WV 25504-1227
Phone (304) 733-5380

Other practice location 1

2801 S Staunton Rd
Huntington, WV 25702-1222
Phone (304) 526-1880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address star.roe@smmm.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200916000292 WV Practitioner - Nurse Practitioner 5193088011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stultz Sleep Study Services, PLLCGroup PAC ID 0840316204, 5 clinicians

Practice addresses (Care Compare)

6171 Childers Rd
Barboursville, WV 25504-1227
Phone (304) 733-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
107018WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Management, LLC Family CurrentSince Feb 9, 2026 Accepting new patients
Stultz Sleep Study Services CurrentSince May 25, 2021 Accepting new patients
St. Mary's Medical Management, LLC CurrentSince Feb 9, 2026 Accepting new patients
David J. Humphreys, MD, Psychiatrist Inc. PastSince Aug 27, 2020 Accepting new patients

Locations

6171 Childers Rd
Barboursville, WV 25504
Phone (304) 733-5380

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2801 S Staunton Rd
Huntington, WV 25702
Phone (304) 526-1880

Interoperability endpoints

  • Direct secure messaging: star.roe@smmm.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1790393577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 CHILDERS RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041227",
            "telephone_number": "304-733-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 CHILDERS RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041227",
            "telephone_number": "304-733-5380",
            "fax_number": "304-733-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 S Staunton Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021222",
            "country_code": "US",
            "telephone_number": "304-526-1880",
            "fax_number": "304-529-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "STAR",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "star.roe@smmm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2801 S Staunton Rd",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.