Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Monroe Bullins II, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1992115901

Charles Monroe Bullins II, AGACNP-BC is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2014, 12 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2014
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Practice location Address checks out

201 Crystal Spring Ave SW Ste 201
Roanoke, VA 24104
Phone: (540) 853-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024171785 (VA)

Record details

NPI number1992115901
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESJune 23, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Roanoke