Individual provider Active NPI

Megan Danielle Kister, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1396559415
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
122086 Issued in WV
Practice address
100 Peyton Way Ste 200
Charleston, WV 25309-8545
Phone
(304) 610-6408
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 122086 WV Primary

Addresses

Primary practice location

100 Peyton Way Ste 200
Charleston, WV 25309-8545

Mailing address

PO Box 9569
Charleston, WV 25309-0569
Phone (304) 513-3513

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
I20250331002553 WV Practitioner - Nurse Practitioner 7719400795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psi Med IncGroup PAC ID 9335199843, 8 clinicians

Practice addresses (Care Compare)

100 Peyton Way
Suite 200
Charleston, WV 25309-8545
Phone (681) 265-9047

1520 Kanawha Blvd
Suite E
Charleston, WV 25311-2413

1520 Kanawha Blvd E
Charleston, WV 25311-2413

1520 Kanawha E Blvd E
Charleston, WV 25311-2413
Phone (681) 265-9047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
122086WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psimed, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Links LLC PastSince Feb 9, 2025 Accepting new patients

Locations

1520 Kanawha Blvd E
Charleston, WV 25311
Phone (681) 265-9047

100 Peyton Way
Ste 200
South Charleston, WV 25309
Phone (904) 638-6147

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.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1396559415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9569",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253090569",
            "telephone_number": "304-513-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098545",
            "telephone_number": "304-610-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTER",
        "first_name": "MEGAN",
        "middle_name": "DANIELLE",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "122086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.