Kelly Lynne Matherly, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN61813NP Issued in WV

Practice address

379 Stanaford Rd
Beckley, WV 25801-3141

Phone

(304) 253-3000

Fax

(304) 255-7884

NPI assigned

Aug 28, 2014

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

JC Edwards School of Medicine, Marshall University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adf Behavioral Health Services, LLCGroup PAC ID 2668993338, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adf Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Oak Hill, WV
  • NPI 1568154615
  Medicare reassignment Care Compare group NPD
• Anchor Medical LLC

  • Nurse Practitioner
  • Beaver, WV
  • NPI 1114342243
  Medicare reassignment NPD
• Generations Health & Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Oak Hill, WV
  • NPI 1295495984
  Medicare reassignment NPD
• Healthpath Medical & Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
  • NPI 1609645670
  Medicare reassignment
• Appalachianwellness Clinic Inc

  • Addiction Medicine (Family Medicine) Physician
  • Beckley, WV
  • NPI 1427563238
  NPD (past)
• Med Surg Physician Group, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Beckley, WV
  • NPI 1083373997
  NPD (past)
• New Lifeclinics Inc

  • Addiction Medicine (Family Medicine) Physician
  • Point Pleasant, WV
  • NPI 1316354574
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1164822987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013141",
            "telephone_number": "304-253-3000",
            "fax_number": "304-255-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013141",
            "telephone_number": "304-253-3000",
            "fax_number": "304-255-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERLY",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN61813NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Massey
• Tonya Jean Massie, MS
• Dwayne F Masters
• Zenurita Melanie Mastrippolito, BSW
• Josephine Mata, PT
• Nina Mathews
• Joseph Antonio Matos
• Tiffany Matos
• Melanie Grace Matson
• Tina Jeanette Matson

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, 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 Jan 28, 2018; 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.