AMANDA LEIGH-ELLEN NEEDHAM (WHNP) – Women's Health Nurse Practitioner, NPI 1720100860

AMANDA LEIGH-ELLEN NEEDHAM (WHNP) is a healthcare provider. based in Roanoke, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP. They hold a License No. 0001262505 (VA). The NPI Number for AMANDA LEIGH-ELLEN NEEDHAM (WHNP) is 1720100860

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LEIGH-ELLEN NEEDHAM (WHNP)
NPI
1720100860
Phone
(540) 985-9862
Address
902 S JEFFERSON ST
Enumeration Date
6 April 2007
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153225000
Graduation Year
2000 (26 years ago)
PAC ID
8123088143
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20041014000331
Address ID
TN372320028NA1301XDRXX400

Contacts

Secure Messaging
aneedham768844@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

8,307 NURSE PRACTITIONER in VA

Provider Addresses for AMANDA LEIGH-ELLEN NEEDHAM (WHNP)

  • 902 S JEFFERSON ST

    ROANOKE, VA 240164404

    Phone: (540) 985-9862

    Fax: (540) 985-9890

    Type: Mailing

  • 902 S Jefferson St

    Roanoke, VA 240164404

    Phone: (540) 985-9862

    Fax: (540) 985-9890

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372324404

    Phone: (615) 322-5000

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5715

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041014000331INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1111$0
View full utilization report →

Insurance plans in this area (ZIP 24016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

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Frequently asked questions

What number should I use to identify AMANDA LEIGH-ELLEN NEEDHAM (WHNP) for billing?
Administrative and clinical systems typically use NPI 1720100860 for AMANDA LEIGH-ELLEN NEEDHAM (WHNP).
Does the public listing show AMANDA LEIGH-ELLEN NEEDHAM (WHNP) as active?
AMANDA LEIGH-ELLEN NEEDHAM (WHNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits AMANDA LEIGH-ELLEN NEEDHAM (WHNP)?
NPPES ties AMANDA LEIGH-ELLEN NEEDHAM (WHNP) to Women's Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to AMANDA LEIGH-ELLEN NEEDHAM (WHNP)?
The directory associates AMANDA LEIGH-ELLEN NEEDHAM (WHNP) with Roanoke, Virginia. Check all listed addresses for suites or satellite offices.
Why is information missing for AMANDA LEIGH-ELLEN NEEDHAM (WHNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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