Stephanie Nickerson is a Roanoke, Virginia based nurse practitioner with 13 years of experience in . She completed her graduation in 2012. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephanie Nickerson is 0024177488 for Family in Virginia. Her current practice location is 3 Riverside Cir, Roanoke. Patients can reach her at 540-224-5170. Stephanie Nickerson is NP and her NPI number (Unique professional ID assigned by NPPES) is 1982966206. Stephanie Nickerson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stephanie Nickerson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628220100
Enrollment ID:
I20191120001055
NPI Number:
1982966206
NPI Enumeration Date:
12 Jun, 2012
NPI Last Update On:
09 May, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Nickerson are as mentioned below.
License Number
Specialization
State
Status
0024177488
Family
Virginia
Primary
0024177488
Nurse Practitioner
Virginia
Secondary
AP131784
Family
Texas
Secondary
207247-6
Family
Minnesota
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(490024)
Roanoke, VA
Acute Care Hospital
(490042)
Christiansburg, VA
Acute Care Hospital
(490089)
Rocky mount, VA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stephanie Nickerson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Carilion Medical Center (9830096585)
692
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephanie Nickerson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8328MA
Other
Texas
BCBS
368109001
Medicaid
Texas
ENROLLED
Medicaid
Minnesota
ENROLLED
Medicaid
Iowa
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stephanie Nickerson 213 S Jefferson St Ste 1006, Roanoke, Virginia
Zip:
24011-1713
Phone Number:
540-224-5715
Patients can reach Stephanie Nickerson at 3 Riverside Cir, Roanoke, Virginia or can call to book an appointment on 540-224-5170.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.