Individual provider Active NPI

Murrita C. Bolinger, CFNP

  • Family Nurse Practitioner
  • Ravenswood, WV
National Provider Identifier
1013912799
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38386 Issued in WV
Practice address
606 Washington Street
Ravenswood, WV 26164-1373
Phone
(304) 273-1033
Fax
(304) 273-1034
NPI assigned
Jun 17, 2005
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 38386 WV Primary

Addresses

Primary practice location

606 Washington Street
Ravenswood, WV 26164-1373

Mailing address

PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301

Other identifiers 1

IdentifierTypeStateIssuer
7102007000MedicaidWV

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
I20080602000456 WV Practitioner - Nurse Practitioner 7911077037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Pinnell St
Ripley, WV 25271-9101

PO Box
Suite 609
Elizabeth, WV 26143-0609

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association Inc Current Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Jul 1, 2002 Accepting new patients
Wirt County Health Services Association Inc CurrentSince Jul 1, 2002 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Community Health Association Past Accepting new patients
Dr. Matthew Isner, DC, PLLC Past Accepting new patients

Locations

483 Court St
Elizabeth, WV 26143
Phone (304) 275-3301

606 Washington St
Ravenswood, WV 26164
Phone (304) 273-1033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CADDCD

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1013912799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WASHINGTON STREET",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641373",
            "telephone_number": "304-273-1033",
            "fax_number": "304-273-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINGER",
        "first_name": "MURRITA",
        "middle_name": "C.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "38386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102007000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenswood, WV

Sources for this page

Verify at the official NPI Registry.