Charissa Cochran, NP
Individual provider Active NPI Family Nurse Practitioner · Hedgesville, WV
NPI 1376113530 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1376113530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101061 (WV)
- Practice address
- 3790 Hedgesville Rd Ste H
Hedgesville, WV 25427-6704 - Phone
- (304) 754-7160
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Mountain Health Physicians Inc
Practice addresses (Care Compare)
3790 Hedgesville Rd
Suite H
Hedgesville, WV 25427-6704
Phone (304) 754-7160
Hospital & facility affiliations
- Berkeley Medical Center
- Valley Health War Memorial Hospital
- Winchester Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211013003569 | WV | Practitioner - Nurse Practitioner | 9133527609 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101061 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mountain Health Physicians, Inc. | Current |
Accepting new patients | |
| East Mountain Health Physicians, Inc. | Current |
Accepting new patients | |
| East Mountain Health Physicians Inc. | Current | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
220 Campus Blvd
Ste 100
Winchester, VA 22601
3790 Hedgesville Rd
Ste H
Hedgesville, WV 25427
Phone (304) 754-7160
1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538
100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001
Interoperability endpoints
- ccochran121150@valleyhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101061 | WV | Yes |
Addresses
Primary practice location
3790 Hedgesville Rd Ste H
Hedgesville, WV 25427-6704
Mailing address
3790 Hedgesville Rd Ste H
Hedgesville, WV 25427-6704
Phone (304) 754-7160
Other providers in Hedgesville, WV
- April Cave
- Teresa Chambers
- Ruth Cintron
- Amy Clawges
- Connie Mae Clopper
- Andrea Raine Cogle
- Rick Cole
- Mandie Comer
- Juanita Marie Cosner
- Luis V Cosner
All providers in Hedgesville, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.