Individual provider Active NPI

Jenice Diane Palachick, CRNP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1922336452
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185916 Issued in VA
Practice address
4035 Electric Rd Ste a
Roanoke, VA 24018-8449
Phone
(540) 772-8670
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010477 PA
Family Nurse Practitioner 363LF0000X 0024185916 VA Primary
Family Nurse Practitioner 363LF0000X SP010477 PA

Addresses

Primary practice location

4035 Electric Rd Ste a
Roanoke, VA 24018-8449

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

9 Saint Paul St
Suite 2
Boonsboro, MD 21713-1334
Phone (301) 432-6897

Other practice location 2

52 Water St
Thurmont, MD 21788-1912
Phone (301) 271-3535

Other practice location 3

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

Other practice location 4

46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219
Phone (717) 477-2764

Other practice location 5

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other practice location 6

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Other identifiers 12

IdentifierTypeStateIssuer
541024000MedicaidMD
25-1716306OtherPAHEALTHNET/TRICARE
25-1716306OtherPAINTERGROUP
P00802876OtherPARAILROAD MEDICARE
25-1716306OtherPADEVON
50090234OtherPACAPITAL BLUECROSS
679MOtherMDMEDICARE GROUP #
25-1716306OtherPAMULTIPLAN/PHCS
867633OtherPAMEDICARE GROUP #
1007307260034OtherPAMEDICAID GROUP #
102416560 0001MedicaidPA
SP010477OtherPALICENSE

Other names 1

  • Mrs. Jenice D Palachick Frank Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, VA, CA, WY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20100205000636 PA Practitioner - Nurse Practitioner 1557404076 Reassigns benefits to 1 organization
I20140224000097 MD Practitioner - Nurse Practitioner 1557404076 Reassigns benefits to 2 organizations
I20230120000370 VA Practitioner - Nurse Practitioner 1557404076 Reassigns benefits to 2 organizations
I20240710002256 CA Practitioner - Nurse Practitioner 1557404076 Reassigns benefits to 1 organization
I20260327002179 WY Practitioner - Nurse Practitioner 1557404076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, shared by 9 NPIs, 94 clinicians
Carilion Emergency Services IncGroup PAC ID 7012820889, 67 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Stgi Health, LLCGroup PAC ID 1850764226, 15 clinicians

Practice addresses (Care Compare)

105 E Sydnor Ave
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

13205 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone (540) 719-1815

1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

1955 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

215 Gilbert St
Blacksburg, VA 24060-3305
Phone (540) 266-6800

4035 Electric Rd
Roanoke, VA 24018-8449

434 Peppers Ferry NW Rd
Christiansburg, VA 24073-5780
Phone (540) 382-6000

46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Old Faithful Clinic 122 Clinic LN
Yellowstone National Park, WY 82190
Phone (703) 578-6030

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince Jul 1, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Wellspan Medical Group Nurse Practitioner CurrentSince May 7, 2018 Accepting new patients
Wellspan Medical Group CurrentSince May 7, 2018 Accepting new patients
Wellspan Medical Group Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
South Mountain Community Health LLC Family CurrentSince Sep 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

9 Saint Paul St
Ste 2
Boonsboro, MD 21713
Phone (301) 381-4586

9 Saint Paul St
Ste 3
Boonsboro, MD 21713
Phone (301) 432-6897

52 Water St
Thurmont, MD 21788
Phone (301) 271-3535

1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363

820 Chambersburg Rd
Gettysburg, PA 17325
Phone (717) 337-4206

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

46 Walnut Bottom Rd
#100
Shippensburg, PA 17257
Phone (717) 477-2764

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1922336452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 ELECTRIC RD STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188449",
            "telephone_number": "540-772-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Saint Paul St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Boonsboro",
            "state": "MD",
            "postal_code": "217131334",
            "country_code": "US",
            "telephone_number": "301-432-6897",
            "fax_number": "301-432-6298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Water St",
            "address_purpose": "LOCATION",
            "city": "Thurmont",
            "state": "MD",
            "postal_code": "217881912",
            "country_code": "US",
            "telephone_number": "301-271-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "fax_number": "717-839-6421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "fax_number": "717-839-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "fax_number": "717-839-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-857-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACHICK",
        "first_name": "JENICE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010477",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185916",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541024000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/TRICARE",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00802876",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "50090234",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "679M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "867633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "1007307260034",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102416560 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP010477",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENICE",
            "last_name": "PALACHICK FRANK",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.