Individual provider Active NPI

Lillian Arogo

  • Gerontology Nurse Practitioner
  • Blacksburg, VA
National Provider Identifier
1801437306
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0001203246 Issued in VA
Practice address
809 Davis St Ste 1
Blacksburg, VA 24060-7013
Phone
(540) 961-1590
NPI assigned
Oct 5, 2019
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0001203246 VA Primary

Addresses

Primary practice location

809 Davis St Ste 1
Blacksburg, VA 24060-7013

Mailing address

3700 Millstone Ridge Rd
Blacksburg, VA 24060-0680
Phone (540) 818-1844

Other practice location 1

133 Bostic Ln
Pembroke, VA 24136-3678
Phone (540) 961-0218

Other practice location 2

826 Davis St
Blacksburg, VA 24060-7010
Phone (540) 961-0218

Other practice location 3

801 Davis St Ste 1
Blacksburg, VA 24060-7022
Phone (540) 961-0218

Other identifiers 2

IdentifierTypeStateIssuer
0001203246OtherVAREGISTERED NURSING LICENSE
0024178456OtherVAVA NP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200505002676 VA Practitioner - Nurse Practitioner 5193156222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

801 Davis St
Blacksburg, VA 24060-7008
Phone (540) 961-0218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001203246VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Physician Services, LLC CurrentSince Jan 9, 2021 Accepting new patients
Lewis Gale Physicians LLC CurrentSince Jan 14, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

801 Davis St
Blacksburg, VA 24060
Phone (540) 961-0218

801 Davis St
Ste 1
Blacksburg, VA 24060
Phone (540) 961-0218

809 Davis St
#1
Blacksburg, VA 24060
Phone (540) 951-0780

826 Davis St
Blacksburg, VA 24060
Phone (540) 443-0500

133 Bostic Ln
Pembroke, VA 24136
Phone (540) 921-4343

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: lillian.arogo@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1801437306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 MILLSTONE RIDGE RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240600680",
            "telephone_number": "540-818-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 DAVIS ST STE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-961-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Bostic Ln",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "VA",
            "postal_code": "241363678",
            "country_code": "US",
            "telephone_number": "540-961-0218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 Davis St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607010",
            "country_code": "US",
            "telephone_number": "540-961-0218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Davis St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607022",
            "country_code": "US",
            "telephone_number": "540-961-0218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AROGO",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0001203246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSING LICENSE",
            "identifier": "0001203246",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA NP LICENSE",
            "identifier": "0024178456",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.