Jennifer E Beverage, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2462 Issued in WV

Practice address

46 Town Center PLZ Ste a
Mill Creek, WV 26280-9752

Phone

(304) 335-2050

NPI assigned

Jun 4, 2009

Last updated

Dec 18, 2024By 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 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Davis Medical Center Hospital, Elkins, WV, CCN 510030
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.beverage.1@7274.direct.athenahealth.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.

• Valley Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Mill Creek, WV
  • NPI 1801861083
  Medicare reassignment NPD
• Valley Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Elkins, WV
  • NPI 1063842441
  NPD
• Valley Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Beverly, WV
  • NPI 1073244810
  NPD
• Valley Health Care, Inc

  dba Valley Health Care Elkins

  • Federally Qualified Health Center (FQHC)
  • Elkins, WV
  • NPI 1710270954
  NPD
• Community Care of West Virginia, Inc.

  dba Green Bank Elementary-Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Green Bank, WV
  • NPI 1194073486
  NPD (past)

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

• Davis Memorial Hospital

  dba Davis Medical Center

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1275769275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800247",
            "telephone_number": "304-335-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TOWN CENTER PLZ STE A",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262809752",
            "telephone_number": "304-335-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERAGE",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206565",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Marie Auble, MD
• Carolyn Bailor
• Whitney Barker
• Sierra Nicole Bennett, NP
• Sara Brock
• K. Coty Lee Campbell, PA-C
• Adam W. Casseday, O.D.
• Cheat Mt Physical Therapy Inc
• Kiona Daniels

• Family Medicine Physician in Mill Creek, WV
• Providers in Mill Creek, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.