Individual provider Active NPI

Jenna Holt, APRN

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1841079449
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188028 Issued in VA
Practice address
130 Church Ave SW
Roanoke, VA 24011-1906
Phone
(540) 769-3964
Fax
(276) 629-4271
NPI assigned
Sep 25, 2023
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 0024188028 VA Primary

Addresses

Primary practice location

130 Church Ave SW
Roanoke, VA 24011-1906

Mailing address

312 Fairy Street Ext Ste 101
Martinsville, VA 24112-1912
Phone (276) 201-1647

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
I20231031000472 VA Practitioner - Nurse Practitioner 3779939533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martinsville Urgent Care LLCGroup PAC ID 9436254133, 6 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1044 E Church St
Martinsville, VA 24112-3232
Phone (276) 634-0010

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024188028VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Feb 6, 2024 Accepting new patients
Spero Health of Virginia, LLC CurrentSince Oct 2, 2023 Accepting new patients
Martinsville Urgent Care LLC CurrentSince Oct 22, 2024 Accepting new patients
Universal Health Corporation CurrentSince Oct 23, 2023 Accepting new patients
Martinsville Primary Care LLC PastSince Oct 22, 2024 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

240 Riverside Dr
Bassett, VA 24055
Phone (276) 629-1772

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1044 E Church St
Martinsville, VA 24112
Phone (276) 634-0010

312 Fairy Street Ext
Ste 101
Martinsville, VA 24112
Phone (276) 632-2966

314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647

34 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 609-0175

130 Church Ave SW
Roanoke, VA 24011

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

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 2

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1841079449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 FAIRY STREET EXT STE 101",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121912",
            "telephone_number": "276-201-1647",
            "fax_number": "276-226-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CHURCH AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111906",
            "telephone_number": "540-769-3964",
            "fax_number": "276-629-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JENNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.