Individual provider Active NPI

Rebecca Yeager Wilson, NP-C

  • Family Nurse Practitioner
  • Fairmont, WV
National Provider Identifier
1265968689
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN83843-NP-C Issued in WV
Practice address
1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone
(304) 368-2422
Fax
(304) 368-2426
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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 APRN83843-NP-C WV Primary

Addresses

Primary practice location

1 Huntington Way Ste 100
Fairmont, WV 26554-8819

Mailing address

1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone (304) 368-2422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wilsonr@direct.monhealthsys.org Health Information Exchange (HIE)

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
I20190626003021 WV Practitioner - Nurse Practitioner 5991039885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Huntington Way
Suite 100
Fairmont, WV 26554-8819
Phone (304) 368-2422

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN83843-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Jul 1, 2019 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

1 Huntington Way
Ste 100
Fairmont, WV 26554
Phone (304) 363-6210

1840 Locust Ave
Fairmont, WV 26554
Phone (304) 366-6907

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

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.

Hospital & facility affiliations 4

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1265968689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON WAY STE 100",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548819",
            "telephone_number": "304-368-2422",
            "fax_number": "304-368-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON WAY STE 100",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548819",
            "telephone_number": "304-368-2422",
            "fax_number": "304-368-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "REBECCA",
        "middle_name": "YEAGER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN83843-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wilsonr@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "Mon Health Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Huntington Way Ste 100",
            "city": "Fairmont",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265548819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.