Brandi Carpenter, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Sutton, WV
NPI 1134853278 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1134853278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 113814 (WV)
- Practice address
- 273 Skidmore LN
Sutton, WV 26601-9272 - Phone
- (304) 765-4400
- Fax
- (304) 765-0354
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 47
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care of West Virginia, Inc.
Practice addresses (Care Compare)
235 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400
266 Skidmore LN
Sutton, WV 26601-9271
Phone (304) 765-0351
Hospital & facility affiliations
- St Joseph'S Hospital of Buckhannon, Inc
- Braxton County Memorial Hospital, Inc
- United Hospital Center, Inc
- Summersville Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220808000351 | WV | Practitioner - Nurse Practitioner | 6709268733 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98162 | WV | MD | Registered Nurse |
| 113814 | WV | MD | Family Nurse Practitioner |
Practice roles
Locations
78 Queens Alley Rd
Rock Cave, WV 26234
249 Skidmore Ln
Sutton, WV 26601
Phone (304) 317-7275
273 Skidmore Ln
Sutton, WV 26601
Phone (304) 364-8491
235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400
266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351
Interoperability endpoints
- brandi.carpenter.1@4803.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 98162 | WV | |
| Family Nurse Practitioner | 363LF0000X | 113814 | WV | Yes |
Addresses
Primary practice location
273 Skidmore LN
Sutton, WV 26601-9272
Mailing address
273 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400
Other practice location 1
266 Skidmore Ln
Sutton, WV 26601-9271
Phone (304) 765-0351
Other providers in Sutton, WV
- Georgia Lee Carder
- Caregiving and Advocacy for the Rural Elderly
- Caregiving and Advocacy for the Rural Elderly Inc
- Caregiving and Advocacy for the Rural Elderly Inc
- Caregiving and Advocacy for the Rural Elderly Inc
- Madison Carpenter
- Reta Carpenter
- Teresa Carr
- Brett A. Carson
- Sierra Marie Casillas
All providers in Sutton, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.