Jenny Lee Irvin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102770 Issued in WV

Practice address

12803 Winfield Rd
Winfield, WV 25213-7452

Phone

(304) 757-6999

NPI assigned

Apr 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womencare IncGroup PAC ID 4587568134, shared by 19 NPIs, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.irvin.1@7363.direct.athenahealth.com
• Direct secure messaging: jenny.irvin@pvhhealth.direct.wvhin.org
• FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

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.

• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Medicare reassignment NPD
• Women Care Inc

  • Federally Qualified Health Center (FQHC)
  • Scott Depot, WV
  • NPI 1194759290

  Family

  Medicare reassignment NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1962045948
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1174106124
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1740450089
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1760268643
  Medicare reassignment NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Cross Lanes, WV
  • NPI 1396237434
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Barboursville, WV
  • NPI 1447618327
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1457008385
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1477834216
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Dunbar, WV
  • NPI 1578073706
  NPD
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Marmet, WV
  • NPI 1730671751
  NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1164086971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-6004",
            "fax_number": "304-388-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 WINFIELD RD",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252137452",
            "telephone_number": "304-757-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-6004",
            "fax_number": "304-388-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "JENNY",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "102770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Holstein
• Dustin L Holston
• Amber Houser
• Nicole Hudson
• Christy Jividen Hunter, LMT
• Sarah Elaine Jack, AS
• Lydia C Jones
• Sarah Jorgensen, LSW
• Andrea Kaups
• Noor Ahmed Kazi, MD

• Family Nurse Practitioner in Winfield, WV
• Providers in Winfield, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.