Individual provider Active NPI

Nicole R Ours, DO

  • Family Medicine Physician
  • Moorefield, WV
National Provider Identifier
1053608588
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2732 Issued in WV
Practice address
422 S Main St
Moorefield, WV 26836-1238
Phone
(304) 538-2331
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2732 WV Primary

Addresses

Primary practice location

422 S Main St
Moorefield, WV 26836-1238

Mailing address

PO Box 97
Baker, WV 26801-0097
Phone (803) 435-5270

Other identifiers 2

IdentifierTypeStateIssuer
36745OtherSCLICENSE
2732OtherWVLICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102001427 WV Practitioner - Family Practice 0143451971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
E. a. Hawse Health Center, Inc. CurrentSince Jan 6, 2025 Accepting new patients
E.a. Hawse Health Center Inc Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
E. a. Hawse Health Center, Inc. Family Medicine Past Accepting new patients
E.a. Hawse Health Center Inc. Family Medicine Past Accepting new patients

Locations

17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220

422 S Main St
Moorefield, WV 26836
Phone (304) 538-2331

111 S Grove St
Ste 1
Petersburg, WV 26847
Phone (304) 257-2451

Interoperability endpoints

  • Direct secure messaging: nours25614@directmcleodehealth.org
  • Direct secure messaging: nours2@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1053608588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268010097",
            "telephone_number": "803-435-5270",
            "fax_number": "304-897-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S MAIN ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361238",
            "telephone_number": "304-538-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OURS",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36745",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2732",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

Verify at the official NPI Registry.