Mark J Adkins, ARNP
Individual provider Active NPI Acute Care Nurse Practitioner · Hurricane, WV
NPI 1003831017 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1003831017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 58878 (WV)
- Practice address
- 3983 Teays Valley Rd Ste G1
Hurricane, WV 25526-8863 - Phone
- (844) 523-2273
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Mary'S Medical Management, LLC
Practice addresses (Care Compare)
2828 1St Ave
Huntington, WV 25702-1236
2828 1St Ave
Huntington, WV 25702-1241
2900 1St Ave
Huntington, WV 25702-1241
3075 US Route 60
Huntington, WV 25705-8859
Phone 30452846003853
Hospital & facility affiliations
- St Marys Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060829000258 | WV | Practitioner - Nurse Practitioner | 4688678907 |
Reassigns benefits to 1 organization Practice locations: Hurricane, WV |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 58878 | WV | Yes |
Addresses
Primary practice location
3983 Teays Valley Rd Ste G1
Hurricane, WV 25526-8863
Mailing address
305 Seattle Slew Dr
Milton, WV 25541-9570
Phone (304) 710-9077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100050800 | Medicaid | KY | |
| 2667056 | Medicaid | OH |
Other providers in Hurricane, WV
- Emily Nicole Adkins
- Heather Adkins
- Heather Laine Adkins
- Jenna Brooke Adkins
- Kaitlin Elese Adkins
- Michael Dewayne Adkins
- Tracy Adkins
- Zachary B Adkins
- Advanced Foot & Ankle Care, PLLC
- Advanced Technology of Kentucky Inc.
All providers in Hurricane, WV · Acute Care Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.