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ELIZABETH B MICK FNP
NPI 1336752492
Nurse Practitioner in Roanoke, VA

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
4615 HUNTRIDGE RD, ROANOKE, VA 24012(540) 977-0900(540) 977-0550 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2023, Jan 7, 2021, Nov 12, 2020 and 3 more (6 updates tracked since 2020).

About Elizabeth B Mick Fnp NPPES

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

ELIZABETH B MICK FNP (NPI 1336752492) is an individual nurse practitioner in Roanoke, Virginia, licensed in Virginia (0024180057) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336752492
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH B MICKCredential: FNP
Location Address4615 HUNTRIDGE RDRoanoke, VA 24012-8510
Mailing Address2000 Health Park Dr Fl Hp2Brentwood, TN 37027-4692 · (615) 373-7600 · Fax (866) 346-1426
Phone(540) 977-0900
Fax(540) 977-0550
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2020
Last NPPES UpdateJune 2, 20236 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1336752492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024180057
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4615 HUNTRIDGE RD, Roanoke, VA 24012
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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

Elizabeth B Mick Fnp 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 ID840603098
PECOS Enrollment IDI20210106002584
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
357 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
113 services113 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services19 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
25 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24012 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

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$51.50 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.

JAMEE V TYREE FNP
Nurse Practitioner (Family)
4615 HUNTRIDGE RD
ROANOKE, VA 24012
Roanoke City (540) 977-0900
LEWIS-GALE PHYSICIANS, LLC
Pediatrics
4615 HUNTRIDGE RD
ROANOKE, VA 24012
Roanoke City (540) 977-0990
CARLA ELIZABETH FOSTER PA
Physician Assistant (Medical)
4615 HUNTRIDGE RD
ROANOKE, VA 24012
Roanoke City (540) 977-0900
CASEY RAE BOWLES PA-C
Physician Assistant
4615 HUNTRIDGE RD
ROANOKE, VA 24012
Roanoke City (540) 977-0900

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 Elizabeth Mick's NPI number?

The NPI number for Elizabeth Mick is 1336752492. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Elizabeth Mick located?

Elizabeth Mick practices at 4615 Huntridge Rd, Roanoke, VA 24012. The listed phone number is (540) 977-0900.

What is Elizabeth Mick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Mick enrolled in Medicare?

Yes. Elizabeth Mick 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 Elizabeth Mick affiliated with any hospitals?

According to CMS data, Elizabeth Mick is affiliated with Carilion Medical Center and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Mick was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.