Individual provider Active NPI

Rachelle Barthelemy, ARNP

  • Nurse Practitioner
  • Barboursville, WV
National Provider Identifier
1285173278
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110212 Issued in WV
Practice address
659 Central Ave
Barboursville, WV 25504-1313
Phone
(304) 736-5247
Fax
(304) 736-7367
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9313817 FL
Family Nurse Practitioner 363LF0000X ARNP9313817 FL
Nurse Practitioner 363L00000X 110212 WV Primary

Addresses

Primary practice location

659 Central Ave
Barboursville, WV 25504-1313

Mailing address

1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 691-8722

Other identifiers 1

IdentifierTypeStateIssuer
020428700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachelle.barthelemy@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220906003391 WV Practitioner - Nurse Practitioner 2163709049 Reassigns benefits to 1 organization
I20250203002031 GA Practitioner - Nurse Practitioner 2163709049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

3230 Wildwood Plantation Cir
Valdosta, GA 31605-1031
Phone (229) 433-4340

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110212WVMDNurse Practitioner
ARNP9313817FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Physician Network Inc CurrentSince Nov 11, 2024 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Sep 26, 2022 Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Sep 26, 2022 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients

Locations

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

3230 Wildwood Plantation Cir
Valdosta, GA 31605
Phone (229) 433-4340

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Organizations & group practices 4

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 1

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1285173278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041313",
            "telephone_number": "304-736-5247",
            "fax_number": "304-736-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHELEMY",
        "first_name": "RACHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9313817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9313817",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "110212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020428700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachelle.barthelemy@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "659 Central Ave",
            "city": "Barboursville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255041313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.