Individual provider Active NPI

Kristen Dawn Carper, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1295340552
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107285 Issued in WV
Practice address
28 Mallard CT
Beckley, WV 25801-3664
Phone
(304) 252-8409
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 107285 WV Primary

Addresses

Primary practice location

28 Mallard CT
Beckley, WV 25801-3664

Mailing address

28 Mallard CT
Beckley, WV 25801-3664
Phone (304) 252-8409

Other practice location 1

115 Victor Ln
Daniels, WV 25832-9131
Phone (304) 890-1536

Other names 1

  • Kristen Dawn Carper Professional name

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
I20201221001549 WV Practitioner - Nurse Practitioner 0244642056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 6608785795, shared by 34 NPIs, 36 clinicians

Practice addresses (Care Compare)

28 Mallard CT
Beckley, WV 25801-3664
Phone (304) 252-8409

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Nov 30, 2020 Accepting new patients
Community Health Systems, Inc. CurrentSince Nov 30, 2020 Accepting new patients
Community Health Systems Inc. CurrentSince Nov 30, 2020 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients

Locations

101 Bill Baker Way
Beckley, WV 25801

28 Mallard Ct
Beckley, WV 25801
Phone 30425283241840

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

Interoperability endpoints

  • Direct secure messaging: kristen.carper.1@14333.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1295340552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013664",
            "telephone_number": "304-252-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013664",
            "telephone_number": "304-252-8409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Victor Ln",
            "address_purpose": "LOCATION",
            "city": "Daniels",
            "state": "WV",
            "postal_code": "258329131",
            "country_code": "US",
            "telephone_number": "304-890-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPER",
        "first_name": "KRISTEN",
        "middle_name": "DAWN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-03-31",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CARPER",
            "middle_name": "DAWN",
            "credential": "BA, BSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.