Individual provider Active NPI

Sarah B Mechelle Sprouse, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Point Pleasant, WV
National Provider Identifier
1407487093
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105533 Issued in WV
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

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028001696 WV Practitioner - Nurse Practitioner 2567850290 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
APRN.CNP.026503OHMDFamily Nurse Practitioner
105533WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WV Wellness and Recovery LLC CurrentSince Aug 2, 2021 Accepting new patients
Faith Healthcare and Healing, LLC CurrentSince Jul 1, 2026 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.

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

Verify at the official NPI Registry.