Individual provider Active NPI

Heaven McGee, APRN

  • Family Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1104589480
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110931 Issued in WV
Practice address
120 Medical Park Dr Ste 200
Bridgeport, WV 26330-9013
Phone
(304) 624-7200
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain State Medical Specialties PLLC 38 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Suite 200
Bridgeport, WV 26330-9013
Phone (304) 624-7200

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Davis Medical Center Hospital, Elkins, WV, CCN 510030

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220124002809 WV Practitioner - Nurse Practitioner 4284026220 Reassigns benefits to 1 organization
I20220628000642 OH Practitioner - Nurse Practitioner 4284026220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110931WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Medical Specialties, PLLC Family CurrentSince Jan 3, 2022 Accepting new patients

Locations

120 Medical Park Dr
Ste 200
Bridgeport, WV 26330
Phone (304) 624-7200

165 Scott Ave
Ste 100
Morgantown, WV 26508
Phone (304) 554-0400

Interoperability endpoints

  • Direct secure messaging: heaven.mcgee@mmhs.medicity.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110931 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

120 Medical Park Dr Ste 200
Bridgeport, WV 26330-9013

Mailing address

120 Medical Park Dr Ste 200
Bridgeport, WV 26330-9013
Phone (304) 624-7200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2023.

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1104589480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR STE 200",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309013",
            "telephone_number": "304-624-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR STE 200",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309013",
            "telephone_number": "304-624-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "HEAVEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "110931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.