Rosalind Rebecca Berry, APRN
Individual provider Active NPI Family Nurse Practitioner · Beckley, WV
NPI 1033534342 · NPPES record last updated Jul 16, 2015
Key facts
- NPI
- 1033534342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 58045 (WV)
- Practice address
- 275 Dry Hill Road
Beckley, WV 25801 - Phone
- (304) 253-6060
- Fax
- (304) 929-2248
- NPI assigned
- Feb 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- JC Edwards School of Medicine, Marshall University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Raleigh General Hospital LLC
Practice addresses (Care Compare)
1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 252-0641
Hospital & facility affiliations
- Raleigh General Hospital
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 |
|---|---|---|---|---|
| I20140520000953 | WV | Practitioner - Nurse Practitioner | 2163645144 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tug River Health Association, Inc | Current |
Accepting new patients | |
| Raleigh General Hospital LLC | Current |
Accepting new patients | |
| Beckley Oncology Associates Inc | Current |
Accepting new patients | |
| Tug River Health Association, Inc | Current |
Accepting new patients | |
| Raleigh General Hospital LLC | Current |
Accepting new patients | |
| Raleigh General Hospital LLC | Past | Accepting new patients | |
| Raleigh General Hospital | Past | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
198 Carriage Dr
Beckley, WV 25801
Phone (304) 256-4348
Interoperability endpoints
- rosalind.berry.1@20211.direct.athenahealth.com
- rosalind.berry@wvafn.hcadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 58045 | WV | Yes |
Addresses
Primary practice location
275 Dry Hill Road
Beckley, WV 25801
Mailing address
275 Dry Hill Road
Beckley, WV 25801
Phone (304) 253-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003040524 | Other | WV | HIGHMARK BCBS |
| 3810027211 | Medicaid | WV |
Other providers in Beckley, WV
- Braxton Berry
- Breanna Berry
- Crystal Lynn Berry
- Georgia Berry
- Randy Berry II
- John David Berryman
- Bespoken Case Management, LLC
- Best Transports LLC
- Michael Allen Beswick
- Diana R Betkijian
All providers in Beckley, WV · Family 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 Jul 16, 2015. 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.