Individual provider Active NPI

Rhonda R Ray, CRNP

  • Family Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1225685472
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104288 Issued in WV
Practice address
508 New Hope Rd Ste 102
Princeton, WV 24740-2265
Phone
(304) 487-9100
Fax
(304) 487-9311
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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 104288 WV Primary

Addresses

Primary practice location

508 New Hope Rd Ste 102
Princeton, WV 24740-2265

Mailing address

94 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 252-2673

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191104001853 WV Practitioner - Nurse Practitioner 3577895994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prompt Care IncGroup PAC ID 2567693997, 8 clinicians
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1468 Ritter Dr
Daniels, WV 25832-9356
Phone (304) 253-3860

300 Kenton Dr
Suite 2
Charleston, WV 25311-1266
Phone (304) 345-1966

94 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 252-2673

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC CurrentSince Jan 1, 2023 Accepting new patients
Prompt Care, Inc. CurrentSince Jan 8, 2025 Accepting new patients
Academic Dermatology,PC Past Accepting new patients

Locations

1985 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 373-6647

94 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-2673

300 Kenton Dr
Ste 2
Charleston, WV 25311
Phone (304) 345-1966

1468 Ritter Dr
Daniels, WV 25832
Phone (304) 253-2860

300 Prosperity Ln
Ste 207
Logan, WV 25601
Phone (304) 752-8202

508 New Hope Rd
Ste 102
Princeton, WV 24740
Phone (304) 487-9100

144 Springhaven Dr
Ste 101
Princeton, WV 24740
Phone (304) 487-9100

150 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-5780

Interoperability endpoints

  • Direct secure messaging: rhonda.ray@qdp.emadirect.md
  • Direct secure messaging: rhonda.ray.1@32403.direct.athenahealth.com
  • Direct secure messaging: rhondaray@pinnacleskin.emadirect.md

Organizations & group practices 3

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1225685472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-252-2673",
            "fax_number": "303-929-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE RD STE 102",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402265",
            "telephone_number": "304-487-9100",
            "fax_number": "304-487-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "RHONDA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.