Individual provider Active NPI

Amy M Mihellis, FNP-C

  • Family Nurse Practitioner
  • Follansbee, WV
National Provider Identifier
1386103471
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN83861NP Issued in WV
Practice address
840 Lee Rd
Follansbee, WV 26037-1783
Phone
(304) 527-1100
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 APRN83861NP WV Primary

Addresses

Primary practice location

840 Lee Rd
Follansbee, WV 26037-1783

Mailing address

25 Par Three Dr
Follansbee, WV 26037-1088
Phone (304) 527-7237

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
I20190424000019 WV Practitioner - Nurse Practitioner 6204178254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Partners PCGroup PAC ID 9739447400, 34 clinicians
Geps Physician Group of West Virginia PCGroup PAC ID 6800105446, 6 clinicians

Practice addresses (Care Compare)

1000 Lincoln Dr
Charleston, WV 25309-2304
Phone (304) 768-4400

840 Lee Rd
Follansbee, WV 26037-1783
Phone (304) 527-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN83861NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group WV, PC CurrentSince Oct 19, 2024 Accepting new patients
Geps Physician Group of West Virginia PC CurrentSince Mar 1, 2019 Accepting new patients
Alignmed Partners, PC CurrentSince Mar 1, 2019 Accepting new patients

Locations

1543 Country Club Rd
Fairmont, WV 26554
Phone (304) 363-2273

840 Lee Rd
Follansbee, WV 26037
Phone (304) 527-1100

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

1000 Lincoln Dr
South Charleston, WV 25309
Phone (304) 766-1722

Organizations & group practices 3

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 1

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1386103471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PAR THREE DR",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371088",
            "telephone_number": "304-527-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 LEE RD",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371783",
            "telephone_number": "304-527-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHELLIS",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN83861NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Follansbee, WV

Sources for this page

Verify at the official NPI Registry.