Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Xiaofang Ingram

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912604737

Xiaofang Ingram is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2022, 4 years ago. Practices with Walnut Avenue Associates PC, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

16 Walnut Ave SW
Roanoke, VA 24016-4719
Phone: (540) 345-6468
Fax: (540) 345-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1503 Hoyt St, Blacksburg, VA 24060-2517 — (201) 500-6992

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024185979 (VA)

Record details

NPI number1912604737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Walnut Avenue Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roanoke