Individual provider Active NPI

Angela Gayle Carter, APRN, BC

  • Family Nurse Practitioner
  • Clay, WV
National Provider Identifier
1083806277
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57397 Issued in WV
Practice address
122 Center St
Clay, WV 25043-7046
Phone
(304) 587-7301
Fax
(304) 587-2464
NPI assigned
Aug 13, 2007
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 57397 WV Primary

Addresses

Primary practice location

122 Center St
Clay, WV 25043-7046

Mailing address

122 Center St
Clay, WV 25043-7046
Phone (304) 587-7301

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
I20071113000365 WV Practitioner - Nurse Practitioner 1254429004 Reassigns benefits to 24 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

4 Northridge Dr
Suite 118
Buckhannon, WV 26201-8484
Phone (304) 473-5661

77 W Main St
Buckhannon, WV 26201-2236
Phone (304) 473-1440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 25, 2014 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Dec 27, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 8, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Aug 3, 2014 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Mar 8, 2010 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Dec 18, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 8, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 31, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Aug 3, 2014 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients

Locations

16 College Ave
Buckhannon, WV 26201
Phone (304) 472-3310

4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440

50 Bu Dr
Buckhannon, WV 26201
Phone (304) 472-8333

77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440

1 Eagle Way
#C
Clarksburg, WV 26301

443 Lee Ave
Clarksburg, WV 26301
Phone (304) 326-7420

59 Ossia Rd
Duck, WV 25063
Phone (304) 286-2838

271 Warrior Way
Dunmore, WV 24934
Phone (304) 799-0515

113 5th St
Gassaway, WV 26624
Phone (304) 364-5867

4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-5115

797 Clinic Dr
Ivydale, WV 25113
Phone (304) 286-4200

821 3rd Ave
Marlinton, WV 24954
Phone (304) 799-4404

926 5th Ave
Ste A
Marlinton, WV 24954
Phone (304) 799-4916

1302 Buckhannon Pike
Nutter Fort, WV 26301
Phone (304) 326-7501

78 Queens Alley Rd
Rock Cave, WV 26234

200 Tetrick Rd
Shinnston, WV 26431
Phone (304) 326-7280

78 Jerry Toth Dr
Shinnston, WV 26431
Phone (304) 592-5022

100 Carter Braxton Dr
Sutton, WV 26601
Phone (304) 765-2644

200 Jerry Burton Dr
Sutton, WV 26601
Phone (304) 765-7331

235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400

266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351

182 School St
West Milford, WV 26451
Phone (304) 745-5739

107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Interoperability endpoints

  • Direct secure messaging: angela.carter.1@4803.direct.athenahealth.com

Organizations & group practices 55

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 55

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1083806277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CENTER ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250437046",
            "telephone_number": "304-587-7301",
            "fax_number": "304-587-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CENTER ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250437046",
            "telephone_number": "304-587-7301",
            "fax_number": "304-587-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANGELA",
        "middle_name": "GAYLE",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "57397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, WV

Sources for this page

Verify at the official NPI Registry.