Individual provider Active NPI

Stephanie Lynn Legg, APRN, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1003462557
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104224 Issued in WV
Practice address
2345 Chesterfield Ave Ste 302
Charleston, WV 25304-1064
Phone
(681) 205-8610
Fax
(681) 205-8615
NPI assigned
Aug 12, 2019
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104224 WV Primary

Addresses

Primary practice location

2345 Chesterfield Ave Ste 302
Charleston, WV 25304-1064

Mailing address

2345 Chesterfield Ave Ste 302
Charleston, WV 25304-1064
Phone (681) 205-8610

Other practice location 1

4610 Kanawha Ave SW Ste 200
South Charleston, WV 25309-1367
Phone (304) 205-7992

Other identifiers 1

IdentifierTypeStateIssuer
1003462557MedicaidWV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190916001051 WV Practitioner - Nurse Practitioner 7315276482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camc Greenbrier Valley Medical Center Inc CurrentSince May 13, 2023 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince May 13, 2023 Accepting new patients
Greenbrier VMC LLC Past Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

176 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-6083

3738 Davis Stuart Rd
Lewisburg, WV 24901
Phone (304) 645-3207

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

1521 Maplewood Ave
Ronceverte, WV 24970

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1003462557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 CHESTERFIELD AVE STE 302",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041064",
            "telephone_number": "681-205-8610",
            "fax_number": "681-205-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 CHESTERFIELD AVE STE 302",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041064",
            "telephone_number": "681-205-8610",
            "fax_number": "681-205-8615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 Kanawha Ave SW Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091367",
            "country_code": "US",
            "telephone_number": "304-205-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGG",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003462557",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.