Individual provider Active NPI

Xiaofang Ingram

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1912604737
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024185979 Issued in VA
Practice address
16 Walnut Ave SW
Roanoke, VA 24016-4719
Phone
(540) 345-6468
Fax
(540) 345-3204
NPI assigned
Feb 13, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024185979 VA Primary

Addresses

Primary practice location

16 Walnut Ave SW
Roanoke, VA 24016-4719

Mailing address

1503 Hoyt St
Blacksburg, VA 24060-2517
Phone (540) 982-2463

Other practice location 1

107 Church St SE # 2S
Blacksburg, VA 24060-4858
Phone (540) 625-1569

Other practice location 2

1503 Hoyt St
Blacksburg, VA 24060-2517
Phone (201) 500-6992

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
I20230417000838 VA Practitioner - Nurse Practitioner 2961877386 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walnut Avenue Associates PCGroup PAC ID 4284736612, 5 clinicians

Practice addresses (Care Compare)

16 Walnut Ave SW
Roanoke, VA 24016-4719
Phone (540) 345-6468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024185979VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychiatric Solutions PLLC CurrentSince Sep 1, 2023 Accepting new patients
Ying and Yang Psychiatry Psychiatric/Mental Health CurrentSince Aug 25, 2025 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince May 1, 2023 Accepting new patients
Psychogeriatric Services LLC CurrentSince May 19, 2025 Accepting new patients
Walnut Avenue Associates PC CurrentSince Nov 17, 2025 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

16 Walnut Ave SW
Roanoke, VA 24016
Phone (540) 345-6468

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1912604737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 HOYT ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602517",
            "telephone_number": "540-982-2463",
            "fax_number": "540-345-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WALNUT AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164719",
            "telephone_number": "540-345-6468",
            "fax_number": "540-345-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Church St SE # 2S",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240604858",
            "country_code": "US",
            "telephone_number": "540-625-1569",
            "fax_number": "224-253-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Hoyt St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240602517",
            "country_code": "US",
            "telephone_number": "201-500-6992",
            "fax_number": "833-605-4359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "XIAOFANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.