Individual provider Active NPI

Sandra Ellen Swisher, FNP BC

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1104974963
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34047 Issued in WV
Practice address
1200 Stephenson Avenue
Parkersburg, WV 26101-4936
Phone
(304) 420-5819
Fax
(304) 422-8850
NPI assigned
Jan 8, 2007
Last updated
May 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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 34047 WV Primary

Addresses

Primary practice location

1200 Stephenson Avenue
Parkersburg, WV 26101-4936

Mailing address

2712 Fairview Ave
Parkersburg, WV 26104-2706
Phone (304) 428-0815

Other identifiers 1

IdentifierTypeStateIssuer
7105014000MedicaidWV

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
I20210927001903 WV Practitioner - Nurse Practitioner 2668619909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Stephenson Ave
Parkersburg, WV 26101-4889
Phone (304) 699-0506

135 S Penn Ave
Harrisville, WV 26362-1371
Phone (304) 643-4005

1513 Blizzard Dr
Parkersburg, WV 26101-6424
Phone (304) 699-0809

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ritchie County Primary Care Assoc., Inc. Current Accepting new patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Jun 22, 2021 Accepting new patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Jun 22, 2021 Accepting new patients
Ritchie County Primary Care Assoc., Inc. CurrentSince Jun 22, 2021 Accepting new patients

Locations

L4162
Columbus, OH 43260

135 S Penn Ave
Harrisville, WV 26362
Phone (304) 343-4005

1200 Stephenson Ave
Parkersburg, WV 26101
Phone (304) 420-5819

1513 Blizzard Dr
Parkersburg, WV 26101
Phone (304) 699-0809

2330 N Pleasants Hwy
Saint Marys, WV 26170
Phone (855) 552-8907

151 Doddridge County School Rd
West Union, WV 26456
Phone (304) 873-0060

79 Bulldog Dr
West Union, WV 26456

Interoperability endpoints

  • Direct secure messaging: s.swisher@ritchieregional.directbygreenway.com

Organizations & group practices 4

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.

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1104974963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 FAIRVIEW AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042706",
            "telephone_number": "304-428-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STEPHENSON AVENUE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014936",
            "telephone_number": "304-420-5819",
            "fax_number": "304-422-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "SANDRA",
        "middle_name": "ELLEN",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "34047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105014000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.