Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Tate Littrell, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1518693399

Cody Tate Littrell, AGACNP-BC is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2021, 5 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
5
Licensed in
PA, VA
In the registry since
2022
Specialties on file
5
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Practice location Address checks out

2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465
Phone: (540) 853-0100
Fax: (540) 342-9308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 S George St Fl 2, York, PA 17403-3676 — (717) 851-2465

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024196026 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP025757 (PA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP025757 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP025757 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP025757 (PA)

Record details

NPI number1518693399
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Roanoke