Individual provider Active NPI

Cheyenne Michaela Hedrick, FNP

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1396330387
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106901 Issued in WV
Practice address
331 Laidley St
Charleston, WV 25301-1619
Phone
(304) 352-2663
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 106901 WV Primary

Addresses

Primary practice location

331 Laidley St
Charleston, WV 25301-1619

Mailing address

331 Laidley St
Charleston, WV 25301-1619
Phone (304) 352-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210512003365 WA Practitioner - Nurse Practitioner 8527477074 Reassigns benefits to 1 organization
I20250412000238 WV Practitioner - Nurse Practitioner 8527477074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61124627WAMDFamily Nurse Practitioner
106901WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Feb 21, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 21, 2025 Accepting new patients
Minuteclinic Diagnostic of Washington, PLLC Family CurrentSince Apr 14, 2021 Accepting new patients

Locations

11918 Airport Rd
Everett, WA 98204
Phone (425) 353-7687

33520 21st Ave SW
Federal Way, WA 98023
Phone (253) 838-1611

19507 Highway 99
Lynnwood, WA 98036
Phone (425) 640-0646

531 Queen Anne Ave N
Seattle, WA 98109
Phone (206) 284-7286

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

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.

Hospital & facility affiliations 2

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1396330387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-352-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-352-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "CHEYENNE",
        "middle_name": "MICHAELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.