Individual provider Active NPI

Amanda Gayle Fei

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1245969930
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111093 Issued in WV
Practice address
2828 1St Ave Ste 510
Huntington, WV 25702-1236
Phone
(304) 399-7548
Fax
(304) 399-7507
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 111093 WV Primary

Addresses

Primary practice location

2828 1St Ave Ste 510
Huntington, WV 25702-1236

Mailing address

PO Box 4190
Barboursville, WV 25504-4190
Phone (304) 526-8958

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
I20221116000193 WV Practitioner - Nurse Practitioner 3870961279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2828 1St Ave
Huntington, WV 25702-1236

2828 1St Ave
Huntington, WV 25702-1241

2900 1St Ave
Huntington, WV 25702-1241

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Management, LLC CurrentSince Jul 11, 2022 Accepting new patients
St Mary'S Hospitalist Services, LLC Family CurrentSince Nov 13, 2023 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Jul 11, 2022 Accepting new patients

Locations

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

3075 US Route 60
Ste D230
Huntington, WV 25705
Phone (304) 526-1234

2828 1st Ave
Ste 510
Huntington, WV 25702
Phone (304) 399-7548

2900 1st Ave
#2E
Huntington, WV 25702
Phone (304) 399-2600

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

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.

Hospital & facility affiliations 2

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1245969930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4190",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044190",
            "telephone_number": "304-526-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE STE 510",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-399-7548",
            "fax_number": "304-399-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEI",
        "first_name": "AMANDA",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "111093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.