Individual provider Active NPI

Regina Demasi, FNP-BC

  • Family Nurse Practitioner
  • Triadelphia, WV
National Provider Identifier
1205226867
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN70767-FNP-BC Issued in WV
Practice address
2596 Battle Run Road
Triadelphia, WV 26059
Phone
(304) 547-2829
Fax
(304) 547-2929
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN70767-FNP-BC WV Primary

Addresses

Primary practice location

2596 Battle Run Road
Triadelphia, WV 26059

Mailing address

30 Edgwood St
Wheeling, WV 26003-5758
Phone (304) 780-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200611000276 OH Practitioner - Nurse Practitioner 0143641506 Reassigns benefits to 1 organization
I20230411001859 WV Practitioner - Nurse Practitioner 0143641506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN70767-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Skyline Wound Care PLLC CurrentSince Aug 25, 2022 Accepting new patients

Locations

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

727 8th St
Portsmouth, OH 45662
Phone (740) 254-8631

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1205226867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EDGWOOD ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035758",
            "telephone_number": "304-780-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 BATTLE RUN ROAD",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "26059",
            "telephone_number": "304-547-2829",
            "fax_number": "304-547-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASI",
        "first_name": "REGINA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN70767-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Triadelphia, WV

Sources for this page

Verify at the official NPI Registry.