Active NPI
Sarah B Mechelle Sprouse, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Point Pleasant, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105533
- Practice address
- 2500 Jefferson Ave
Point Pleasant, WV 25550-1530 - Phone
- (304) 675-2230
- Fax
- (304) 675-2234
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.026503 | OH | |
| Family Nurse Practitioner | 363LF0000X | 105533 | WV | Primary |
Addresses
Primary practice location
2500 Jefferson Ave
Point Pleasant, WV 25550-1530
Mailing address
4 Putnam Village Dr.
Hurricane, WV 25526
Phone (304) 757-0057
Other practice location 1
4 Putnam Village Dr.
Hurricane, WV 25526
Phone (304) 757-0057
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4 Putnam Village Dr
Hurricane, WV 25526-1354
Phone (304) 757-0057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026503 | OH | MD | Family Nurse Practitioner |
| 105533 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Wellness and Recovery LLC | Current | Accepting new patients | |
| Faith Healthcare and Healing, LLC | Current | Accepting new patients |
Locations
4 Putnam Village Dr
Hurricane, WV 25526
Phone (304) 757-0057
610 Main St
Ste F
Pt Pleasant, WV 25550
Phone (304) 812-5426
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.
-
- Medical Specialty Clinic/Center
- Hurricane, WV
- NPI 1275150351
-
- Community/Behavioral Health Agency
- Point Pleasant, WV
- NPI 1912748211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1407487093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PUTNAM VILLAGE DR.",
"city": "HURRICANE",
"state": "WV",
"postal_code": "25526",
"telephone_number": "304-757-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 JEFFERSON AVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255501530",
"telephone_number": "304-675-2230",
"fax_number": "304-675-2234"
}
],
"practiceLocations": [
{
"address_1": "4 Putnam Village Dr.",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "25526",
"country_code": "US",
"telephone_number": "304-757-0057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPROUSE",
"first_name": "SARAH",
"middle_name": "B MECHELLE",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.026503",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "105533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.