Active NPI
Shannon Hill, FNP-C
- Family Nurse Practitioner
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024187068
- Practice address
- 130 Church Ave SW
Roanoke, VA 24011-1906 - Phone
- (540) 769-3964
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024187068 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 116000 | WV |
Addresses
Primary practice location
130 Church Ave SW
Roanoke, VA 24011-1906
Mailing address
130 Church Ave SW
Roanoke, VA 24011-1906
Phone (540) 769-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WV, OH, DC, IN, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230615000616 | VA | Practitioner - Nurse Practitioner | 9436517943 | Reassigns benefits to 4 organizations |
| I20241101001977 | WV | Practitioner - Nurse Practitioner | 9436517943 | Reassigns benefits to 1 organization |
| I20241211001467 | OH | Practitioner - Nurse Practitioner | 9436517943 | Reassigns benefits to 1 organization |
| I20250123000624 | DC | Practitioner - Nurse Practitioner | 9436517943 | Reassigns benefits to 1 organization |
| I20251112001965 | IN | Practitioner - Nurse Practitioner | 9436517943 | Reassigns benefits to 1 organization |
| I20251118003074 | MD | Practitioner - Nurse Practitioner | 9436517943 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Universal Health Corporation | Current | Accepting new patients | |
| Post Acute Telehealth PC | Family | Current | Accepting new patients |
Locations
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474
2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000
1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700
625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745
8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547
6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000
3610 S Main St
Blacksburg, VA 24060
Phone (540) 443-6111
5872 Hanks Ave
Dublin, VA 24084
Phone (540) 353-6520
1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400
287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618
250 Flank Rd
Petersburg, VA 23805
Phone (804) 861-2223
2401 Lee Hwy N
Pulaski, VA 24301
Phone (540) 980-3111
130 Church Ave SW
Roanoke, VA 24011
1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094
46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800
100 Heartland Dr
Beckley, WV 25801
Phone (304) 256-1650
183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280
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.
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1164011185
DC, Family, IN, MD, OH, VA, WV
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
VA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Post Acute Telehealth PCUniversal Health Corporation
Practice addresses (Care Compare)
100 Heartland Dr
Beckley, WV 25801-2655
Phone (304) 256-1650
100 Hresan Blvd
Fayetteville, WV 25840-1333
Phone (304) 574-0770
100 Laurel Dr
Elkton, MD 21921-5328
Phone (410) 398-8800
100 Pkwy Dr
Clarksburg, WV 26301-4357
Phone (304) 624-6401
101 Potters LN
Clarksville, IN 47129-1017
Phone (812) 948-0808
105 Time SQ
Salisbury, MD 21801-2808
Phone (410) 749-2474
1053 Clinic Dr
Ivydale, WV 25113-8266
Phone (304) 286-4204
10797 Seneca TRL S
Lindside, WV 24951-7345
Phone (304) 753-4332
1115 Maplewood Ave
Lewisburg, WV 24901-9728
Phone (304) 645-3076
1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone (419) 394-7611
1217 W Fayette St
Fayette Health and Rehabilitation Cen
Baltimore, MD 21223-1938
Phone (410) 727-3947
1234 Washington Rd
Westminster Healthcare Center
Westminster, MD 21157-5854
Phone (410) 848-0700
1242 Cedars CT
Charlottesville, VA 22903-4800
Phone (434) 296-5611
1263 S George St
Charles Town, WV 25414-4384
Phone (304) 725-6575
1275 Southview Dr
Bluefield, WV 24701-4347
Phone (304) 325-5448
135 Reichart Ave
Wintersville, OH 43953-4050
Phone (740) 264-1155
135 Southern Dr
Keyser, WV 26726-2010
Phone (304) 788-3415
144 Washington Rd
South River Healthcare Center
Edgewater, MD 21037-1412
Phone (410) 956-5000
14751 Carey Rd
Carmel, IN 46033-9084
Phone (317) 575-2208
150 Beechmont Dr NE
Harrison Healthcare Center
Corydon, IN 47112-1717
Phone (812) 738-0550
150 Venus Rd
Gary, WV 24836-0220
Phone (304) 448-2121
155 Heritage Woods Dr
Copley, OH 44321-1398
Phone (330) 666-0980
1600 27TH St
Parkersburg, WV 26101-2815
Phone (304) 485-6476
18086 St RT
Suite 55
Baker, WV 26801-0070
Phone (304) 897-5903
183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (304) 472-3280
Hospital & facility affiliations
- Lewisgale Hospital Pulaski
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1902596489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CHURCH AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111906",
"telephone_number": "540-769-3964"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SHANNON",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024187068",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "116000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.