NPIMap

Individual provider Active NPI

Jeremy McDaniel, FNP-BC

  • Family Nurse Practitioner
  • Hurricane, WV
National Provider Identifier
1194103994
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN64727NP Issued in WV
Practice address
3729 Teays Valley Rd
Hurricane, WV 25526-9705
Phone
(304) 760-6042
Fax
(304) 760-6042
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 64727 WV
Family Nurse Practitioner 363LF0000X APRN64727NP WV Primary

Addresses

Primary practice location

3729 Teays Valley Rd
Hurricane, WV 25526-9705

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 781-5159

Other identifiers 3

IdentifierTypeStateIssuer
7100383130MedicaidKY
0143784MedicaidOH
3810029833MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118000304 WV Practitioner - Nurse Practitioner 0648570937 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, Inc 110 clinicians

Practice addresses (Care Compare)

1100 Hospital Dr
Hurricane, WV 25526-8712
Phone (304) 757-8683

4407 Maccorkle Ave SE
Charleston, WV 25304-2541
Phone (304) 925-0392

540 10TH St
Huntington, WV 25701-2217
Phone (304) 399-3366

6350 US Route 60 E
Barboursville, WV 25504-1232
Phone (304) 399-3350

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN64727NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. Family CurrentSince Jun 5, 2017 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 21, 2015 Accepting new patients
Valley Health Systems Inc Family Current Accepting new patients
Valley Health Systems, Inc. Family CurrentSince Nov 4, 2020 Accepting new patients
Valley Health Systems, Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 21, 2015 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jan 15, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc CurrentSince Sep 21, 2015 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc Family CurrentSince Dec 1, 2024 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

4407 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-0392

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

540 10th St
Huntington, WV 25701
Phone (304) 399-3366

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683

3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040

3729 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-6040

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

1 Harbour Way
Milton, WV 25541
Phone (304) 743-1407

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: jmcdaniel20124@valleyhealthsystems.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1194103994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-781-5159",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269705",
            "telephone_number": "304-760-6042",
            "fax_number": "304-760-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JEREMY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WV",
            "license": "64727",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN64727NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100383130",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143784",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029833",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.