Individual provider Active NPI

Haley Alyssa White

  • Family Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1053200758
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105992 Issued in WV
Practice address
1000 Tavern Rd Ste 400
Martinsburg, WV 25401-2853
Phone
(304) 350-8733
Fax
(304) 350-8655
NPI assigned
Jun 30, 2025
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 105992 WV Primary

Addresses

Primary practice location

1000 Tavern Rd Ste 400
Martinsburg, WV 25401-2853

Mailing address

PO Box 734240
Chicago, IL 60673-4240
Phone (304) 350-8733

Other names 1

  • Haley Alyssa Hansrote Former name

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
I20251212002771 WV Practitioner - Nurse Practitioner 4284128604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105992WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Sep 20, 2025 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Sep 20, 2025 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

1000 Tavern Rd
Ste 400
Martinsburg, WV 25401
Phone (304) 350-8733

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: hhansrote724264@valleyhealth.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1053200758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734240",
            "telephone_number": "304-350-8733",
            "fax_number": "304-350-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD STE 400",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012853",
            "telephone_number": "304-350-8733",
            "fax_number": "304-350-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HALEY",
        "middle_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "HANSROTE",
            "middle_name": "ALYSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.