Individual provider Active NPI

Angela B. Brown, FNP-C

  • Family Nurse Practitioner
  • Clay, WV
National Provider Identifier
1033560883
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN66309-NP-C Issued in WV
Practice address
452 Main Street
Clay, WV 25043-0036
Phone
(304) 587-4269
Fax
(304) 587-7415
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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 APRN66309-NP-C WV Primary

Addresses

Primary practice location

452 Main Street
Clay, WV 25043-0036

Mailing address

PO Box 36
452 Main Street
Clay, WV 25043-0036
Phone (304) 587-4269

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
I20160915000516 WV Practitioner - Nurse Practitioner 3971899071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

452 Main St
Clay, WV 25043-0036
Phone (304) 587-4269

617 Old Turnpike Rd
Sutton, WV 26601-1641
Phone (304) 765-2851

Hospital & facility affiliations

  • Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN66309-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Braxton County Board of Health CurrentSince Feb 18, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Nov 2, 2021 Accepting new patients
Clay County Board of Health CurrentSince Jul 14, 2016 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Nov 2, 2021 Accepting new patients
Gilmer County Health Department Past Accepting new patients
Gilmer County Board of Health Past Accepting new patients

Locations

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

617 Old Turnpike Rd
Sutton, WV 26601
Phone (304) 765-2851

Interoperability endpoints

  • Direct secure messaging: angela.b.brownfnp@cchd-wv.direct.office.nextgen.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1033560883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "address_2": "452 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430036",
            "telephone_number": "304-587-4269",
            "fax_number": "304-587-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430036",
            "telephone_number": "304-587-4269",
            "fax_number": "304-587-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGELA",
        "middle_name": "B.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN66309-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, WV

Sources for this page

Verify at the official NPI Registry.