NPIMap

Individual provider Active NPI

Joseph Zachary Wiley, MD

  • Family Medicine Physician
  • Nitro, WV
National Provider Identifier
1073058947
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29507 Issued in WV
Practice address
4111 1St Ave Ste 3
Nitro, WV 25143-1345
Phone
(304) 755-4797
Fax
(304) 755-4799
NPI assigned
Dec 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 29507 WV Primary

Addresses

Primary practice location

4111 1St Ave Ste 3
Nitro, WV 25143-1345

Mailing address

200 Morris St Apt 103
Charleston, WV 25301-1856
Phone (610) 223-4145

Other practice location 1

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.wiley@camc.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316000093 WV Practitioner - Family Practice 9032492475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4111 1St Ave
Suite 3
Nitro, WV 25143-1345
Phone (304) 755-4797

Hospital & facility affiliations

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Feb 1, 2020 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

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

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

4111 1st Ave
Ste 3
Nitro, WV 25143
Phone (304) 755-4797

12576 Winfield Rd
Winfield, WV 25213
Phone (304) 586-0111

Interoperability endpoints

  • Direct secure messaging: joseph.wiley@camc.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1073058947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MORRIS ST APT 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011856",
            "telephone_number": "610-223-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 1ST AVE STE 3",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431345",
            "telephone_number": "304-755-4797",
            "fax_number": "304-755-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255269202",
            "country_code": "US",
            "telephone_number": "304-757-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JOSEPH",
        "middle_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-30",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "29507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.wiley@camc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "4111 1st Ave Ste 3",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nitro, WV

Sources for this page

Verify at the official NPI Registry.