Christine Merrill
Individual provider Active NPI Family Nurse Practitioner · Greenwood, WV
NPI 1285032953 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1285032953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 58769 (WV)
- Practice address
- 1 Lois LN
Greenwood, WV 26415-9500 - Phone
- (304) 873-1808
- NPI assigned
- Dec 12, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ritchie County Primary Care Assoc Inc
Valeo Medical PLLC
Practice addresses (Care Compare)
1200 Stephenson Ave
Parkersburg, WV 26101-4889
Phone (304) 699-0506
260 Russell Ave
New Martinsville, WV 26155-1571
Phone (304) 398-4949
Hospital & facility affiliations
- United Hospital Center, Inc
- Camden Clark Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211028001967 | WV | Practitioner - Nurse Practitioner | 7517355258 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58769 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ritchie County Primary Care Assoc., Inc. | Current |
Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Current | Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Current |
Accepting new patients | |
| Valeo Medical, PLLC | Current |
Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Current |
Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Past | Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Past | Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Past | Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Past | Accepting new patients | |
| Ritchie County Primary Care Assoc., Inc. | Past | Accepting new patients |
Locations
L4162
Columbus, OH 43260
135 S Penn Ave
Harrisville, WV 26362
Phone (304) 343-4005
260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949
2800 22nd St
Rm 12
Parkersburg, WV 26101
3501 Cadillac Dr
Rm 112
Parkersburg, WV 26104
1200 Stephenson Ave
Parkersburg, WV 26101
Phone (304) 420-5819
1513 Blizzard Dr
Parkersburg, WV 26101
Phone (304) 699-0809
2330 N Pleasants Hwy
Saint Marys, WV 26170
Phone (855) 552-8907
1100 9th St
Ste E
Vienna, WV 26105
79 Bulldog Dr
West Union, WV 26456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 58769 | WV | |
| Family Nurse Practitioner | 363LF0000X | 58769 | WV | Yes |
Addresses
Primary practice location
1 Lois LN
Greenwood, WV 26415-9500
Mailing address
2507 9TH Ave
Parkersburg, WV 26101-5855
Phone (304) 485-6513
Other providers in Greenwood, WV
All providers in Greenwood, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.