Individual provider Active NPI

Shannon Hill, FNP-C

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1902596489
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187068 Issued in VA
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

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Aug 16, 2023 Accepting new patients
Provider Partners Care Management LP CurrentSince Feb 2, 2025 Accepting new patients
Universal Health Corporation CurrentSince May 2, 2023 Accepting new patients
Post Acute Telehealth PC Family CurrentSince Sep 8, 2024 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.

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 PC 63 clinicians
Universal Health Corporation 120 clinicians

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 Hospital, Pulaski, VA, CCN 490116

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

Verify at the official NPI Registry.