Individual provider Active NPI

Corrie Elizabeth Grogg, WHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Glenville, WV
National Provider Identifier
1306251970
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104933 Issued in WV
Practice address
376 WV Highway 5 E
Glenville, WV 26351-7602
Phone
(304) 462-7322
Fax
(304) 462-8000
NPI assigned
Jun 23, 2014
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 104933 WV Primary
Women's Health Nurse Practitioner 363LW0102X 104933 WV

Addresses

Primary practice location

376 WV Highway 5 E
Glenville, WV 26351-7602

Mailing address

376 WV Highway 5 E
Glenville, WV 26351-7602
Phone (304) 462-7322

Other identifiers 1

IdentifierTypeStateIssuer
0125774MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgrogg156814@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20200618002759 WV Practitioner - Nurse Practitioner 6709107915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

921 Mineral Rd
Suite 101
Glenville, WV 26351-1342
Phone (304) 462-7322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104933WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Feb 29, 2020 Accepting new patients
Minnie Hamilton Health Care Center, Inc. CurrentSince Feb 29, 2020 Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

376 WV Highway 5 E
Glenville, WV 26351
Phone (304) 462-7322

921 Mineral Rd
Glenville, WV 26351
Phone (304) 462-1020

921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

Interoperability endpoints

  • Direct secure messaging: corrie.grogg.1@14266.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, 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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1306251970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 WV HIGHWAY 5 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263517602",
            "telephone_number": "304-462-7322",
            "fax_number": "304-462-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 WV HIGHWAY 5 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263517602",
            "telephone_number": "304-462-7322",
            "fax_number": "304-462-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGG",
        "first_name": "CORRIE",
        "middle_name": "ELIZABETH",
        "credential": "WHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104933",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "104933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125774",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgrogg156814@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 Mineral Rd",
            "city": "Glenville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263511342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenville, WV

Sources for this page

Verify at the official NPI Registry.