VANESSA MICHELE ROLL NP NPI 1164102117

NPI Information

  • NPI: 1164102117
  • Provider Name: VANESSA MICHELE ROLL, NP
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 112 WEST SOUTH STREET
    VERSAILLES, IN
    ZIP 47042
  • Phone: (812) 584-1555

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NPI Details

Vanessa Michele Roll, NP is a general practice in Versailles, IN with 2 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Vanessa Michele Roll, NP NPI is 1164102117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

112 WEST SOUTH STREET
VERSAILLES, IN
ZIP 47042
Phone: (812) 584-1555
Fax: (877) 790-1165

The NPI 1164102117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 8/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice71015909AINDIANANo
2363LA2200XNurse PractitionerAdult Health28172068AINDIANANo
3208D00000XGeneral Practice28172068AINDIANAYes
4163WG0600XRegistered NurseGerontology28172068AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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