Individual provider Active NPI

Melanie D. Soule, NP

  • Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1326201179
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
42870 Issued in WV
Practice address
16 Sterling Dr
Suite 203
Bridgeport, WV 26330-9132
Phone
(304) 326-2320
Fax
(304) 326-2323
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 42870 WV Primary
Family Nurse Practitioner 363LF0000X 2582 SC

Addresses

Primary practice location

16 Sterling Dr
Suite 203
Bridgeport, WV 26330-9132

Mailing address

PO Box 1610
Clarksburg, WV 26302-1610
Phone (304) 326-2320

Other identifiers 3

IdentifierTypeStateIssuer
P00648641OtherSCRAILROAD MEDICARE ID
P00799638OtherSCRAILROAD MEDICARE ID-RSFPN
NP1265MedicaidSC

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
I20120831000471 WV Practitioner - Nurse Practitioner 8022184274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2010 Doctor Oates Dr
Suite 102
Martinsburg, WV 25401-8896
Phone (304) 264-6343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jul 8, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 8, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Feb 3, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Feb 3, 2021 Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients
Premier Medical Group, Inc. Past Accepting new patients

Locations

16 Sterling Dr
Ste 203
Bridgeport, WV 26330
Phone (304) 326-2320

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

2930 Chesterfield Ave
Charleston, WV 25304
Phone (304) 343-9923

2010 Doctor Oates Dr
Ste 102
Martinsburg, WV 25401
Phone (304) 264-6343

880 N Tennessee Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 596-5160

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 6

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 5

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1326201179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263021610",
            "telephone_number": "304-326-2320",
            "fax_number": "304-326-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STERLING DR",
            "address_2": "SUITE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309132",
            "telephone_number": "304-326-2320",
            "fax_number": "304-326-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULE",
        "first_name": "MELANIE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "42870",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00648641",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID-RSFPN",
            "identifier": "P00799638",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1265",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.