Charlotte L Lantz, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

36761 Issued in WV

Practice address

1301 Elizabeth Pike
Elizabeth, WV 26143-0609

Phone

(304) 275-3301

Fax

(304) 275-4798

NPI assigned

Jun 17, 2005

Last updated

Aug 6, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 2

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Wirt County Health Services Association, IncGroup PAC ID 7810806577, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
• Minnie Hamilton Health System Hospital, Grantsville, WV, CCN 511303

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clantz@ovmqc.gwaydirect.com
• Direct secure messaging: clantz133551@direct.wvuhsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camden-Clark Physician Corporation

  • Surgery Physician
  • Parkersburg, WV
  • NPI 1710125430
  Medicare reassignment Care Compare group NPD
• Wirt County Health Services Association Inc

  dba Ripley Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Ripley, WV
  • NPI 1043401730
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment NPD
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• West Virginia University Medical Corporation

  dba WVU Obstetrics & Gynecology-Bridgeport

  • Clinical Medical Laboratory
  • Bridgeport, WV
  • NPI 1457605404
  NPD
• Wirt County Health Services Association Inc

  dba West Virginia University at Parkersburg Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1497484091
  NPD
• Wirt County Health Services Association, Inc

  dba RiverValley Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Ravenswood, WV
  • NPI 1356403703
  NPD
• Wirt County Health Services Association, Inc

  dba Wirt County Family Care

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, WV
  • NPI 1538179411
  NPD
• Camden Clark Memorial Hospital Corporation

  dba Camden Clark Medical Center

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  NPD (past)
• Dr. Matthew Isner, DC, PLLC

  • Chiropractor
  • Mineral Wells, WV
  • NPI 1134392509
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1508160268
  Care Compare affiliation
• Camden Clark Memorial Hospital Corporation

  dba Camden Clark Medical Center

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  Care Compare affiliation
• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  Care Compare affiliation
• Minnie Hamilton Health Care Center, Inc.

  dba Swing Bed - Medicare

  • Medicare Defined Swing Bed Hospital Unit
  • Grantsville, WV
  • NPI 1356459002
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1245235969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ELIZABETH PIKE",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "36761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005405",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clantz133551@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "517 36th St",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261011006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clantz133551@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 ROSEMAR RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany A Johnston, RN
• Christina Jones
• Mikayla Kirby
• Penny Kirk
• Amanda Krantz
• Joni Larrison
• Bonnie Lockhart
• Erikalynn Paige Lockhart
• Amber Jade Desiree Lott
• Cassandra Lowe

• Family Nurse Practitioner in Elizabeth, WV
• Providers in Elizabeth, 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 Aug 6, 2021; 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.