Individual provider Active NPI

Whitney Rose, CRNP

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1295221075
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89280 Issued in WV
Practice address
4130 Robert C Byrd Dr
Beckley, WV 25801-2206
Phone
(304) 425-9435
Fax
(304) 255-9435
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 89280 WV Primary
Family Nurse Practitioner 363LF0000X 0024188178 VA

Addresses

Primary practice location

4130 Robert C Byrd Dr
Beckley, WV 25801-2206

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

725 S College Ave
Bluefield, VA 24605-1640
Phone (276) 326-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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
I20181004002622 WV Practitioner - Nurse Practitioner 7012269889 Reassigns benefits to 4 organizations
I20231212004189 VA Practitioner - Nurse Practitioner 7012269889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Bluefield PLLCGroup PAC ID 6800291360, 12 clinicians

Practice addresses (Care Compare)

4130 Robert C Byrd Dr
Beckley, WV 25801-2206
Phone (304) 255-9434

725 S College Ave
Bluefield, VA 24605-1640
Phone (276) 326-3376

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Emergency Physicians LLC CurrentSince Nov 15, 2022 Accepting new patients
Integrated Dermatology of Bluefield, PLLC CurrentSince Nov 21, 2023 Accepting new patients
Southern West Virginia Primary Care Inc CurrentSince Apr 1, 2022 Accepting new patients
Derm One, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Dermatology Clinics of Southwest Virginias PLLC Past Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

725 S College Ave
Bluefield, VA 24605
Phone (276) 228-2022

1804 E Main St
#B
Radford, VA 24141
Phone (540) 633-3015

1804B E Main St
Radford, VA 24141
Phone (540) 633-3015

150 Peppers Ferry Rd
Wytheville, VA 24382
Phone (276) 228-2022

415 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0142

4130 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 252-3900

3157 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 253-5683

1619 Stanaford Rd
Ste 212
Beckley, WV 25801

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

497 Mall Rd
Unit D
Oak Hill, WV 25901
Phone (304) 465-2052

296 New Hope Rd
Ste 1
Princeton, WV 24740
Phone (304) 425-9448

Interoperability endpoints

  • Direct secure messaging: wrose@dermone.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/6958/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1295221075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012206",
            "telephone_number": "304-425-9435",
            "fax_number": "304-255-9435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "VA",
            "postal_code": "246051640",
            "country_code": "US",
            "telephone_number": "276-326-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "WHITNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "89280",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.