Active NPI
Nicole R Ours, DO
- Family Medicine Physician
- Moorefield, WV
National Provider Identifier
1053608588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2732
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36745 | Other | SC | LICENSE |
| 2732 | Other | WV | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. a. Hawse Health Center, Inc. | Current | Accepting new patients | |
| E.a. Hawse Health Center Inc | Family Medicine | Current | 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
- nours25614@directmcleodehealth.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Baker, WV
- NPI 1851359251
Family Medicine
-
- Community Health Clinic/Center
- Moorefield, WV
- NPI 1417437591
-
- Federally Qualified Health Center (FQHC)
- Petersburg, WV
- NPI 1033347414
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Mathias, WV
- NPI 1225096027
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.