Individual provider Active NPI

Vera Ann Barton-Maxwell, PH.D, APRN, FNP-BC

  • Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1083615140
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0377093 22 Issued in WV
Practice address
61 29TH St
Wheeling, WV 26003-4161
Phone
(304) 233-9323
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 0377093 22 WV Primary

Addresses

Primary practice location

61 29TH St
Wheeling, WV 26003-4161

Mailing address

61 29TH St
Wheeling, WV 26003-4161
Phone (304) 650-0888

Other identifiers 3

IdentifierTypeStateIssuer
2400422MedicaidOH
7104175 000MedicaidWV
001719911OtherWVBLUE CROSS BLUE SHIELD

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
I20100901000044 WV Practitioner - Nurse Practitioner 0648394460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0377093 22WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Health Right, Inc. CurrentSince Feb 14, 2018 Accepting new patients
Richard F Terry MD Inc Nurse Practitioner PastSince Jan 27, 2010 Accepting new patients

Locations

61 29th St
Wheeling, WV 26003
Phone (304) 233-9323

Organizations & group practices 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1083615140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 29TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034161",
            "telephone_number": "304-650-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 29TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034161",
            "telephone_number": "304-233-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON-MAXWELL",
        "first_name": "VERA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "0377093 22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400422",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104175 000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001719911",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.