Active NPI
Cristyn Rene Davis, MSN, APRN, FNP-C
- Nurse Practitioner
- Glen Dale, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 108102
- Practice address
- 426 8TH St Ste 305
Glen Dale, WV 26038-1451 - Phone
- (304) 559-3491
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 108102 | WV | Primary |
Addresses
Primary practice location
426 8TH St Ste 305
Glen Dale, WV 26038-1451
Mailing address
426 8TH St Ste 305
Glen Dale, WV 26038-1451
Phone (304) 559-3491
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
407 Wheeling Ave
Glen Dale, WV 26038-1536
Phone (304) 845-1500
Hospital & facility affiliations
- Reynolds Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108102 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc. | Current | Accepting new patients | |
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients |
Locations
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
407 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-3012
100 Teletech Dr
Ste 3
Moundsville, WV 26041
Phone (304) 221-3012
159 Edgington Ln
Wheeling, WV 26003
Phone (304) 242-1093
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- Pulmonary Disease Physician
- Glen Dale, WV
- NPI 1265040356
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1033708573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 8TH ST STE 305",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381451",
"telephone_number": "304-559-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 8TH ST STE 305",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381451",
"telephone_number": "304-559-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CRISTYN",
"middle_name": "RENE",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "108102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Dale, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.