NPIMap

Individual provider Active NPI

Amy Mann

  • Family Nurse Practitioner
  • Summersville, WV
National Provider Identifier
1336692441
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN62763 Issued in WV
Practice address
702 Professional Park Dr Ste 104
Summersville, WV 26651-2033
Phone
(304) 872-0089
NPI assigned
Jul 26, 2016
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 APRN62763 WV Primary

Addresses

Primary practice location

702 Professional Park Dr Ste 104
Summersville, WV 26651-2033

Mailing address

702 Professional Park Dr Ste 104
Summersville, WV 26651-2033

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address amann147065@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address amy.mann@camc.cernerdirect.com Direct
Direct Messaging Address amann147065@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address amann147065@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017002072 WV Practitioner - Nurse Practitioner 9436447935 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

702 Professional Park Dr
Suite 104
Summersville, WV 26651-2033
Phone (304) 872-0035

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN62763WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 12, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jun 2, 2022 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Jun 2, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 12, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jun 2, 2022 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

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

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

400 Fairview Heights Rd
Ste 204
Summersville, WV 26651
Phone (304) 872-8411

702 Professional Park Dr
Ste 102
Summersville, WV 26651
Phone (304) 872-0035

702 Professional Park Dr
Ste 104
Summersville, WV 26651
Phone (304) 872-0035

Interoperability endpoints

  • Direct secure messaging: amann@rhc.gwaydirect.com
  • Direct secure messaging: amann147065@direct.wvuhsdirect.com
  • Direct secure messaging: amy.mann@camc.cernerdirect.com

Organizations & group practices 7

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1336692441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PROFESSIONAL PARK DR STE 104",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PROFESSIONAL PARK DR STE 104",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512033",
            "telephone_number": "304-872-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN62763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amann147065@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.mann@camc.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "702 Professional Park Dr Ste 104",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266512033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amann147065@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd Ste 204",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amann147065@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd Ste 204",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.