Individual provider Active NPI

Kristen Carpenter, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1376932673
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN73901NP Issued in WV
Practice address
3496 University Ave
Morgantown, WV 26505-3001
Phone
(304) 599-7075
NPI assigned
Jan 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP014346 PA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN73901NP WV Primary

Addresses

Primary practice location

3496 University Ave
Morgantown, WV 26505-3001

Mailing address

114 Castle View Dr
MC Kees Rocks, PA 15136-1899
Phone (304) 694-1089

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address general@scapelle.medinformatixdirect.com Health Information Exchange (HIE) Susan Capelle MD, PLLC

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
I20150603003047 WV Practitioner - Nurse Practitioner 1254652159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical Corporation 1,974 clinicians

Practice addresses (Care Compare)

6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (855) 988-2273

Hospital & facility affiliations

  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP014346PAMDObstetrics & Gynecology Nurse Practitioner
APRN73901NPWVMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Capelle MD, PLLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

3496 University Ave
Star City, WV 26505
Phone (304) 599-7075

Interoperability endpoints

  • Direct secure messaging: general@scapelle.medinformatixdirect.com

Organizations & group practices 2

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 4

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": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1376932673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CASTLE VIEW DR",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361899",
            "telephone_number": "304-694-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053001",
            "telephone_number": "304-599-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KRISTEN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-10",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP014346",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WV",
            "license": "APRN73901NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "general@scapelle.medinformatixdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email Address",
            "affiliationName": "Susan Capelle MD, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3496 University Ave",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265053001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.