Individual provider Active NPI

Benjamin P Rice, FNP-BC

  • Nurse Practitioner
  • South Charleston, WV
National Provider Identifier
1063742344
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
52497 Issued in WV
Practice address
4607 Maccorkle Ave SW Ste 406
South Charleston, WV 25309-1364
Phone
(304) 766-4342
Fax
(304) 766-3541
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 52497 WV Primary

Addresses

Primary practice location

4607 Maccorkle Ave SW Ste 406
South Charleston, WV 25309-1364

Mailing address

4607 Maccorkle Ave SW Ste 406
South Charleston, WV 25309-1364
Phone (304) 766-4342

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
I20100526000413 WV Practitioner - Nurse Practitioner 4082743240 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
52497WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Wellbe Medical Group of West Virginia Inc CurrentSince Sep 25, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 1, 2020 Accepting new patients
Carelon Medical Partners, PC Nurse Practitioner CurrentSince Oct 5, 2020 Accepting new patients
Modi Medical Corporation PastSince Jan 1, 2004 Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

2930 Chesterfield Ave
Charleston, WV 25304
Phone (304) 343-9923

1506 Kanawha Blvd W
Charleston, WV 25387
Phone (312) 872-7537

3501 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 988-4644

Organizations & group practices 5

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1063742344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 406",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4342",
            "fax_number": "304-766-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 406",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4342",
            "fax_number": "304-766-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "52497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.