Individual provider Active NPI

Teresa H Poole, RN MSN FNPC

  • Family Nurse Practitioner
  • Lewisburg, WV
National Provider Identifier
1063483477
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35339 Issued in WV
Practice address
400 N Jefferson St
Lewisburg, WV 24901
Phone
(304) 645-3220
Fax
(304) 645-4103
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 35339 WV Primary

Addresses

Primary practice location

400 N Jefferson St
Lewisburg, WV 24901

Mailing address

400 N Jefferson St
Lewisburg, WV 24901
Phone (304) 645-3220

Other practice location 1

1560 Jefferson St N
Lewisburg, WV 24901-2203
Phone (304) 645-2164

Other identifiers 1

IdentifierTypeStateIssuer
7104006000MedicaidWV

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
I20100430000239 WV Practitioner - Nurse Practitioner 5698802270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia School of Osteopathic Medicine Clinic Inc Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 18, 2022 Accepting new patients
Community Health Association CurrentSince Nov 15, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 18, 2022 Accepting new patients
Community Health Association CurrentSince Nov 15, 2025 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Community Health Association Past Accepting new patients

Locations

1464 Jefferson St N
Lewisburg, WV 24901
Phone (304) 647-5577

504 Washington St
Ravenswood, WV 26164
Phone (304) 373-1476

509 Church St S
Ripley, WV 25271
Phone (304) 372-1605

200 Academy Dr
Ripley, WV 25271
Phone (304) 372-1050

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Organizations & group practices 7

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1063483477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-3220",
            "fax_number": "304-645-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-3220",
            "fax_number": "304-645-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Jefferson St N",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249012203",
            "country_code": "US",
            "telephone_number": "304-645-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "TERESA",
        "middle_name": "H",
        "credential": "RN MSN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "35339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104006000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.