Active NPI
Marguerite Wilson, CNS
- Adult Psychiatric/Mental Health Registered Nurse
- Martinsburg, WV
National Provider Identifier
1386643633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 59685
- Practice address
- 99 Tavern Rd
Martinsburg, WV 25401-2890 - Phone
- (304) 263-7023
- Fax
- (304) 264-0508
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 59685 | WV | Primary |
Addresses
Primary practice location
99 Tavern Rd
Martinsburg, WV 25401-2890
Mailing address
PO Box 1067
Martinsburg, WV 25402-1067
Phone (304) 263-7023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000513 | Medicaid | WV |
Other names 1
- Marquerite Fabert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59685 | WV | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1386643633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1067",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254021067",
"telephone_number": "304-263-7023",
"fax_number": "304-264-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 TAVERN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012890",
"telephone_number": "304-263-7023",
"fax_number": "304-264-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARGUERITE",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "WV",
"license": "59685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000513",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARQUERITE",
"last_name": "FABERT",
"credential": "CNS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.