Kenneth Earl Gwinn Jr., FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

107635 Issued in WV

Practice address

176 Medical Center Dr
Rainelle, WV 25962-1064

Phone

(304) 438-6188

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Charleston, WV, CCN 517115
• Home Care Plus, Incorporated Home health agency, Lewisburg, WV, CCN 517051
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kennethgwinn@rmc.allscriptsdirect.net

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

• Rainelle Medical Center Inc

  dba Meadow Bridge Clinic

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  dba Summers County Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  dba Rupert Health Center

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  dba Eastern Greenbrier Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  dba RMC Lewisburg Pediatrics and Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba White Sulphur Springs Health Center

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Lewisburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Maxwelton Health Center

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Midland Trail Health Center

  • Federally Qualified Health Center (FQHC)
  • Hico, WV
  • NPI 1952815268
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rainelle, WV
  • NPI 1437227766
  NPD
• Rainelle Medical Center, Inc

  dba Lewisburg Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001
  NPD
• Rainelle Medical Center, Inc

  dba RMC Greenbrier Nephrology Center

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  NPD

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

• Amedisys West Virginia, L.L.C.

  dba Adoration Home Health

  • Home Health Agency
  • Charleston, WV
  • NPI 1700834553
  Care Compare affiliation
• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• Home Care Plus, Inc.

  • Home Health Agency
  • Lewisburg, WV
  • NPI 1457343451
  Care Compare affiliation

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1003417023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "KENNETH",
        "middle_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• God's Way Home, Inc. (God's Way Home)
• Brenda Goins
• Trista T Graham
• Greenbrier Valley Physical Therapy, LLC (Masterworks Physical Therapy)
• Audra Gregg
• Donna Rosetta Hamrick
• Abrienda Alexandria Hanna
• Alyssa Ann Hanna
• Lindsey Marie Hanna
• Tammy Jean Hanna

• Family Nurse Practitioner in Rainelle, WV
• Providers in Rainelle, 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 Nov 5, 2020; 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.