Nicole Radabaugh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN59918-NP-C Issued in WV

Practice address

300 Minuteman Dr
Weston, WV 26452-2200

Phone

(304) 999-7870

Fax

(304) 269-0165

NPI assigned

Apr 24, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Harrison Former name

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph'S Hospital of Buckhannon IncGroup PAC ID 6709828163, 98 clinicians

Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia Home Health Home health agency, Buckhannon, WV, CCN 517031
• Davis Medical Center Hospital, Elkins, WV, CCN 510030
• St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3af1289d-eb50-43a1-88d7-f9212538b9d6/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NP 2U

  • Family Nurse Practitioner
  • Buckhannon, WV
  • NPI 1376994947
  Medicare reassignment NPD Authorized official
• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment Care Compare group
• St Josephs Hospital of Buckhannon Inc

  • Critical Access Hospital
  • Buckhannon, WV
  • NPI 1124005061
  Medicare reassignment Care Compare group
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1245938513
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1427585157
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1558340414
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1700312618
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ansted, WV
  • NPI 1801493499
  Medicare reassignment NPD
• Richbend Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Elkins, WV
  • NPI 1093438830
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Nettie, WV
  • NPI 1174065916
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1215394648
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1508372228
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Care Compare affiliation
• LHCG Lii, LLC

  • Home Health Agency
  • Buckhannon, WV
  • NPI 1184048241
  Care Compare affiliation
• St Josephs Hospital of Buckhannon Inc

  • Critical Access Hospital
  • Buckhannon, WV
  • NPI 1124005061
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1003203316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER RD",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262087713",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MINUTEMAN DR",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522200",
            "telephone_number": "304-999-7870",
            "fax_number": "304-269-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10003 Webster Rd",
            "address_purpose": "LOCATION",
            "city": "Camden ON Gauley",
            "state": "WV",
            "postal_code": "262087713",
            "country_code": "US",
            "telephone_number": "304-226-5725 x118",
            "fax_number": "304-226-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADABAUGH",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN59918-NP-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029176",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HARRISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Marie Pritt
• Jennifer Pritt
• Lea Michelle Propst Fedder
• Shannon Pukl, PHARMD
• Jill Pumphrey
• Patti Radabaugh
• Molly Ramsey
• Karen Randolph
• Kacci Leigh Ratliff, MA, NCC, LPC
• Thomas Jon Ravis, PHARM D

• Family Nurse Practitioner in Weston, WV
• Providers in Weston, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.