Tinashe Blessings Kwenda, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Beckley, WV
NPI 1194306175 · NPPES record last updated May 16, 2022
Key facts
- NPI
- 1194306175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 107897 (WV)
- Practice address
- 1710 Harper Rd
Beckley, WV 25801-3357 - Phone
- (304) 256-4100
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group West Virginia PLLC
Practice addresses (Care Compare)
20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-3446
Hospital & facility affiliations
- Raleigh General Hospital
- Charleston Area Medical Center
- Camc Plateau Medical Center, Inc
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 |
|---|---|---|---|---|
| I20240528000125 | WV | Practitioner - Nurse Practitioner | 0547602237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107897 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, West Virginia, PLLC | Current |
Accepting new patients |
Locations
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 107897 | WV | Yes |
Addresses
Primary practice location
1710 Harper Rd
Beckley, WV 25801-3357
Mailing address
215 Reservoir Rd
Beckley, WV 25801-4317
Other providers in Beckley, WV
- Kroger Limited Partnership I
- Kroger Limited Partnership I
- Noah Kruchkow
- Kurt H. Reiber DMD
- Kathryn Kutil
- Ronald Lee Kyer
- Kyle Group PLLC
- L.C. Maramba, M.D., Inc.
- Ramon Lacanilao
- William Christopher Lacost
All providers in Beckley, 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 May 16, 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.