Individual provider Active NPI

Haley Crum, FNP-BC

  • Family Nurse Practitioner
  • Man, WV
National Provider Identifier
1083433049
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
109508 Issued in WV
Practice address
600 E McDonald Ave
Man, WV 25635-1023
Phone
(304) 583-8585
NPI assigned
Oct 7, 2024
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 109508 WV Primary

Addresses

Primary practice location

600 E McDonald Ave
Man, WV 25635-1023

Mailing address

600 E McDonald Ave
Man, WV 25635-1023
Phone (304) 583-8585

Other practice location 1

5161 Washington St W
Cross Lanes, WV 25313-1535
Phone (304) 722-7600

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
I20250403000954 WV Practitioner - Nurse Practitioner 5092238782 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

1 Wildcat Way
Logan, WV 25601-3474
Phone (304) 688-9949

26 Trinity LN
Oceana, WV 24870-2600
Phone (304) 682-6246

35767 Pond Fork Rd
Wharton, WV 25208
Phone (304) 247-6202

37456 Coal River Rd
Whitesville, WV 25209-9077
Phone (304) 854-1321

471 Main St
Madison, WV 25130-1223
Phone (304) 369-5170

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Hygeia Facilities Foundation Inc Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Madison Medical, PLLC Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center Inc PastSince Mar 11, 2025 Accepting new patients
Lincoln County Primary Care Center, Inc Past Accepting new patients

Locations

5322 McClellan Hwy
Branchland, WV 25506
Phone (304) 824-5707

506 Crawley Creek Rd
Chapmanville, WV 25508
Phone (304) 855-0245

7400 Lynn Ave
Hamlin, WV 25523

81 Lincoln Panther Way
Hamlin, WV 25523
Phone (304) 824-6090

1 Wildcat Way
Logan, WV 25601
Phone (304) 688-9949

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

471 Main St
Madison, WV 25130
Phone (304) 369-5170

1 Pioneer Path
Man, WV 25635
Phone (304) 583-7295

600 E McDonald Ave
Man, WV 25635
Phone (304) 583-6541

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

26 Trinity Ln
Oceana, WV 24870
Phone (304) 369-1123

10008 Coal River Rd
Seth, WV 25181
Phone (304) 837-3399

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

37456 Coal River Rd
Whitesville, WV 25209
Phone (304) 854-1321

Interoperability endpoints

  • Direct secure messaging: haley.crum.1@6401.direct.athenahealth.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1083433049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MCDONALD AVE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MCDONALD AVE",
            "city": "MAN",
            "state": "WV",
            "postal_code": "256351023",
            "telephone_number": "304-583-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5161 Washington St W",
            "address_purpose": "LOCATION",
            "city": "Cross Lanes",
            "state": "WV",
            "postal_code": "253131535",
            "country_code": "US",
            "telephone_number": "304-722-7600",
            "fax_number": "304-722-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "HALEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "109508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Man, WV

Sources for this page

Verify at the official NPI Registry.