Heather Waddell, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

103938 Issued in WV

Practice address

3997 Beckley Rd
Princeton, WV 24740-7660

Phone

(304) 431-5499

Fax

(304) 431-3400

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

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.

• Bluestone Health Association, Inc.

  dba Bluestone Primary Care

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1003453317
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Bluestone Pinnacle Primary Care

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1174402572
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1346266848
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Bluestone Medical Center

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1437508314
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Bluestone Family Practice

  • Federally Qualified Health Center (FQHC)
  • Bluefield, WV
  • NPI 1770950396
  Medicare reassignment NPD
• Bluestone Health Association, Inc.

  dba Prudich Medical Center

  • Federally Qualified Health Center (FQHC)
  • Montcalm, WV
  • NPI 1043387327
  NPD

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

• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1386297901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "103938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Voca Corporation of West Virginia, Inc.
• Voca Corporation of West Virginia, Inc. (Community Alternatives West Virginia)
• Voca Corporation of West Virginia, Inc.
• Voca Corporation of West Virginia, Inc.
• Alina Daniela Vrinceanu-Hamm, M.D.
• Hillary Wagner, LPN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2933)
• Wal-Mart Stores East, LP (Vision Center 30-2933)
• Shaina Waldron
• Walgreen Co (Walgreens #10876)

• Family Nurse Practitioner in Princeton, WV
• Providers in Princeton, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.