Individual provider Active NPI

Rebecca Dawn Ross, APRN FNP-BC

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1063929941
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN80428-FNP-BC Issued in WV
Practice address
30 Mon Health Dr
Morgantown, WV 26505-2853
Phone
(337) 991-9276
Fax
(337) 943-0846
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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 APRN80428-FNP-BC WV Primary

Addresses

Primary practice location

30 Mon Health Dr
Morgantown, WV 26505-2853

Mailing address

1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276

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
I20180313000701 WV Practitioner - Nurse Practitioner 1153683081 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN80428-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Vascular, Inc. CurrentSince Sep 4, 2019 Accepting new patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 8, 2024 Accepting new patients
Matrix Medical Network of West CurrentSince Sep 1, 2022 Accepting new patients
Princeton Community Hospital Assn Inc. Past Accepting new patients
CM Oneal MD Inc PastSince Nov 1, 2018 Accepting new patients
Rainbow Pediatrics, Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

120 George St
Beckley, WV 25801
Phone (304) 250-0382

209 Washington St W
Charleston, WV 25302
Phone 24852821166

8849 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 520-4966

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1063929941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MON HEALTH DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052853",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN80428-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.