Individual provider Active NPI

Monica Shanique Pannell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1962235549
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191002 Issued in VA
Practice address
5330 Peters Creek Rd Ste D1
Roanoke, VA 24019-3853
Phone
(540) 366-0927
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 0024191002 VA Primary

Addresses

Primary practice location

5330 Peters Creek Rd Ste D1
Roanoke, VA 24019-3853

Mailing address

2640 Tulip LN
Vinton, VA 24179-1530
Phone (540) 293-6669

Other practice location 1

1115 Electric Rd
Salem, VA 24153-6413
Phone (540) 404-1836

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
I20250206000989 VA Practitioner - Nurse Practitioner 9638609654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Psychiatry ServicesGroup PAC ID 2769715879, 2 clinicians
Friendship Physician Clinic IncGroup PAC ID 2567874571, 8 clinicians

Practice addresses (Care Compare)

1115 Electric Rd
Salem, VA 24153-6413
Phone (540) 404-1836

120 Old Virginia Ave
Rich Creek, VA 24147-9669
Phone (540) 726-2328

3719 Knollridge Rd
Salem, VA 24153-1938
Phone (540) 265-2087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monicare Psychiatric Services, LLC Psychiatric/Mental Health CurrentSince Dec 10, 2024 Accepting new patients
Friendship Physician Clinic Inc CurrentSince Apr 8, 2025 Accepting new patients
Renew Psychiatry Services CurrentSince Aug 5, 2025 Accepting new patients
Southerncare, Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

65 Shenandoah Ave
Ste 205
Daleville, VA 24083
Phone (540) 404-1836

391 Hershberger Rd
Roanoke, VA 24012
Phone (540) 265-2087

3719 Knollridge Rd
Salem, VA 24153
Phone (540) 265-2087

1115 Electric Rd
Salem, VA 24153
Phone (540) 404-1836

3939 Daugherty Rd
Salem, VA 24153
Phone (540) 287-2087

1201 Texas St
Salem, VA 24153
Phone (540) 404-1836

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1962235549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 TULIP LN",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241791530",
            "telephone_number": "540-293-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 PETERS CREEK RD STE D1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193853",
            "telephone_number": "540-366-0927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241536413",
            "country_code": "US",
            "telephone_number": "540-404-1836",
            "fax_number": "540-765-4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "MONICA",
        "middle_name": "SHANIQUE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.