Individual provider Active NPI

Sarah Nally

  • Family Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1295456317
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114298 Issued in WV
Practice address
2343 Short Creek Rd
Wheeling, WV 26003-1767
Phone
(304) 280-1993
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 114298 WV Primary

Addresses

Primary practice location

2343 Short Creek Rd
Wheeling, WV 26003-1767

Mailing address

2343 Short Creek Rd
Wheeling, WV 26003-1767
Phone (304) 280-1993

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
I20230429000097 WV Practitioner - Nurse Practitioner 5799140547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Health Care Clinic PCGroup PAC ID 0749265353, 4 clinicians

Practice addresses (Care Compare)

1307 Lafayette Ave
Moundsville, WV 26041-2316
Phone (304) 845-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.92 of 100Reported as group
Quality
68.51
Promoting interoperability
100
Improvement activities
0
Cost
74.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114298WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Health Care Clinic PC CurrentSince Jun 5, 2023 Accepting new patients

Locations

1307 Lafayette Ave
Moundsville, WV 26041
Phone (304) 845-2500

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1295456317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 SHORT CREEK RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031767",
            "telephone_number": "304-280-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 SHORT CREEK RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031767",
            "telephone_number": "304-280-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLY",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "114298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.