VIRGINIA CAROLINE BOARDWINE NP
NPI 1124574777
Nurse Practitioner - Family in St. Paul, VA

Q: What is Virginia Boardwine's NPI number?

The NPI number for Virginia Boardwine is 1124574777. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Q: What is Virginia Boardwine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment

1389 DANTE ROAD, ST. PAUL, VA 24283(276) 467-2201 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Oct 6, 2022, Dec 11, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Virginia Caroline Boardwine Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGINIA CAROLINE BOARDWINE NP (NPI 1124574777) is an individual family provider in St. Paul, Virginia, licensed in Virginia (0024173795) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1124574777

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVIRGINIA CAROLINE BOARDWINECredential: NP

Location Address1389 DANTE ROADSt. Paul, VA 24283-3658

Mailing Address276 Fieldstone DrJonesville, VA 24263-1215 · (276) 546-5310

Phone(276) 467-2201

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 1, 2016

Last NPPES UpdateMarch 26, 20266 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1124574777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024173795

1389 DANTE ROAD, St. Paul, VA 24283

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Secondary Practice Location 1

Location 13327 Sunset DrSaint Paul, VA 24283-3713 · Phone (276) 202-3791

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Virginia Caroline Boardwine Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668754698

PECOS Enrollment IDI20170126001207

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Russell County Hospital

Acute Care Hospitals · Lebanon, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490002

Location58 Carroll StreetLebanon, VA 24266 · Russell County

Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490114

Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24283 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers30 claims30 services$19.90 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers21 claims22 services$6.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers69 claims69 services$111.21 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers12 claims2,227 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers18 claims18 services$21.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA MITCHELL NP

Nurse Practitioner (Family)

1389 DANTE ROAD
ST. PAUL, VA 24283

Wise County (276) 762-0770

ANITA RENEE DAVIDSON COE FNP-C

Nurse Practitioner (Family)

1389 DANTE ROAD
ST. PAUL, VA 24283

Wise County (276) 762-0770

DR. PAULINA RIOS MD

Family Medicine

1389 DANTE ROAD
SAINT PAUL, VA 24283

Wise County (276) 762-0770

ST CHARLES HEALTH COUNCIL INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1389 DANTE ROAD
ST PAUL, VA 24283

Wise County (276) 762-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virginia Boardwine's NPI number?

The NPI number for Virginia Boardwine is 1124574777. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Virginia Boardwine located?

Virginia Boardwine practices at 1389 Dante Road, St. Paul, VA 24283. The listed phone number is (276) 467-2201.

What is Virginia Boardwine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Virginia Boardwine enrolled in Medicare?

Yes. Virginia Boardwine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Virginia Boardwine affiliated with any hospitals?

According to CMS data, Virginia Boardwine is affiliated with Wellmont Holston Valley Medical Center, Russell County Hospital, Johnston Memorial Hospital and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Virginia Boardwine was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.