Stephanie Nickerson
NP | Nurse Practitioner | 13+ years Exp
3 Riverside Cir, Roanoke
Virginia, 24016-4955
540-224-5170
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.
| Name: | Stephanie Nickerson |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 13+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3 Riverside Cir, Roanoke,
Virginia, 24016-4955 |
| Phone: | 540-224-5170 |
Professional Identification Codes:
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:
Patients can read all the reviews posted for Stephanie Nickerson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Stephanie Nickerson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.