Individual provider Active NPI

Virginia Kelli Rosas, FNP

  • Family Nurse Practitioner
  • Libby, MT
National Provider Identifier
1851352389
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
161179 Issued in MT
Practice address
320 E 2ND St
Libby, MT 59923-2010
Phone
(434) 200-9009
Fax
(434) 200-9005
NPI assigned
Apr 2, 2006
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R867210 MS
Family Nurse Practitioner 363LF0000X 8395 TN
Family Nurse Practitioner 363LF0000X 0024170114 VA
Family Nurse Practitioner 363LF0000X 161179 MT Primary

Addresses

Primary practice location

320 E 2ND St
Libby, MT 59923-2010

Mailing address

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 293-6900

Other identifiers 1

IdentifierTypeStateIssuer
1851352389MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20210405002448 MT Practitioner - Nurse Practitioner 3173598554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Sandalwood Court
Troy, MT 59935
Phone (406) 283-6900

308 E 3Rd St
Libby, MT 59923-2140
Phone (406) 293-6285

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 283-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8395TNMDPharmacist
R867210MSMDNurse Practitioner
161179MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Community Health Center Inc CurrentSince Dec 1, 2020 Accepting new patients
Lincoln County Community Health Center, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Memphis Spine Center Past Accepting new patients
Acute Care & Family Clinic of Pontotoc Nurse Practitioner PastSince May 1, 2004 Accepting new patients
Lincoln County Community Health Center, Inc PastSince Feb 8, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
John W. White, Jr., MD, PA Past Accepting new patients

Locations

308 E 3rd St
Libby, MT 59923
Phone (406) 293-3032

320 E 2nd St
Libby, MT 59923
Phone (406) 283-6900

Interoperability endpoints

  • Direct secure messaging: kelli.rosas@nwchc.eclinicaldirectplus.com

Organizations & group practices 7

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": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1851352389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-293-6900",
            "fax_number": "406-293-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "434-200-9009",
            "fax_number": "434-200-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "VIRGINIA",
        "middle_name": "KELLI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-02",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R867210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170114",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "161179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851352389",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.