Individual provider Active NPI

Stacey Rorie, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Blue Ridge, VA
National Provider Identifier
1992162796
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179192 Issued in VA
Practice address
1214 Black Horse Gap Rd
Blue Ridge, VA 24064-1366
Phone
(605) 553-2792
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020659 TN
Nurse Practitioner 363L00000X 0024179192 VA
Family Nurse Practitioner 363LF0000X R43998 ND
Family Nurse Practitioner 363LF0000X 0024179192 VA Primary

Addresses

Primary practice location

1214 Black Horse Gap Rd
Blue Ridge, VA 24064-1366

Mailing address

1214 Black Horse Gap Rd
Blue Ridge, VA 24064-1366
Phone (605) 553-2792

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
I20220606002192 VA Practitioner - Nurse Practitioner 3173807948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

1613 Oakwood St
Bedford, VA 24523-1213
Phone (540) 425-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000020659TNMDFamily Nurse Practitioner
0024179192VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JRG of Virginia LLC Nurse Practitioner CurrentSince May 15, 2022 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

173 Brockman Park Dr
Amherst, VA 24521
Phone (434) 841-2004

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

1315 2nd St SW
Ste 103
Roanoke, VA 24016
Phone (540) 900-5633

Organizations & group practices 2

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1992162796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 BLACK HORSE GAP RD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "240641366",
            "telephone_number": "605-553-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 BLACK HORSE GAP RD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "240641366",
            "telephone_number": "605-553-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORIE",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-11-16",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020659",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024179192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R43998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, VA

Sources for this page

Verify at the official NPI Registry.