Individual provider Active NPI

Heather Emily Willey, APRN

  • Family Nurse Practitioner
  • Berkeley Springs, WV
National Provider Identifier
1376190652
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN64452NP Issued in WV
Practice address
456 Autumn Acres Rd
Berkeley Springs, WV 25411-3202
Phone
(304) 258-3673
Fax
(304) 258-0017
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 APRN64452NP WV Primary

Addresses

Primary practice location

456 Autumn Acres Rd
Berkeley Springs, WV 25411-3202

Mailing address

456 Autumn Acres Rd
Berkeley Springs, WV 25411-3202
Phone (304) 258-3673

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
I20191202001917 WV Practitioner - Nurse Practitioner 0941633150 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN64452NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Community Health Center, Inc. CurrentSince Oct 16, 2023 Accepting new patients
CNP Operating Co LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

10123 Alliance Rd
Blue Ash, OH 45242
Phone (513) 530-1348

100 Heartland Dr
Beckley, WV 25801
Phone (304) 256-1650

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

1263 S George St
Charles Town, WV 25414
Phone (240) 420-2666

2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112

783 Winchester St
Paw Paw, WV 25434
Phone (304) 947-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11497/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1376190652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 AUTUMN ACRES RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113202",
            "telephone_number": "304-258-3673",
            "fax_number": "304-258-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 AUTUMN ACRES RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113202",
            "telephone_number": "304-258-3673",
            "fax_number": "304-258-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "HEATHER",
        "middle_name": "EMILY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN64452NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

Verify at the official NPI Registry.