Casey M Street, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Pine Grove, WV
NPI 1043566474 · NPPES record last updated Aug 3, 2012
Key facts
- NPI
- 1043566474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 73105 (WV)
- Practice address
- RT 20
Pine Grove, WV 26419-0418 - Phone
- (304) 889-3344
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia University Medical Corporation
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20120907000169 | WV | Practitioner - Nurse Practitioner | 9335397868 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| Valeo Medical, PLLC | Current |
Accepting new patients | |
| Edwin J Morris,DO RHC | Past | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949
3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000
3 E Benjamin Dr
Ste B
North Martinsvlle, WV 26155
Phone (304) 455-6003
1100 9th St
Ste E
Vienna, WV 26105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 73105 | WV | Yes |
Addresses
Primary practice location
RT 20
Pine Grove, WV 26419-0418
Mailing address
PO Box 418
Pine Grove, WV 26419-0418
Phone (304) 889-3344
Other providers in Pine Grove, WV
- Kathy Sue Rosa
- Heidi Jean Shaw
- Tiffany Starkey
- Gwendolinn Louise Staud
- Tiffany Dawn Stewart
- Stephanie Marie Tedrow
- Wetzel County Emergency Ambulance
- Wetzel County Hospital Association
- Wetzel County Hospital, Inc.
All providers in Pine Grove, 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 Aug 3, 2012. 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.