NPIMap

Individual provider Active NPI

Miranda Dawn Plumley, FNP-BC

  • Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1407588486
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113674 Issued in WV
Practice address
275 Dry Hill Rd
Beckley, WV 25801-2605
Phone
(304) 253-6060
NPI assigned
Jun 28, 2022
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113674 WV Primary

Addresses

Primary practice location

275 Dry Hill Rd
Beckley, WV 25801-2605

Mailing address

PO Box 1325
Crab Orchard, WV 25827-1325
Phone (304) 237-1784

Other practice location 1

124 Brookshire Ln
Beckley, WV 25801-6761
Phone (304) 255-9205

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miranda_plumley@teamhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010001150 WV Practitioner - Nurse Practitioner 0042696346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

275 Dry Hill Rd
Beckley, WV 25801-2605
Phone (304) 253-6060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113674WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Beckley Oncology Associates Inc CurrentSince Jul 15, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 15, 2023 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060

3415 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-1790

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1407588486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258271325",
            "telephone_number": "304-237-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 DRY HILL RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012605",
            "telephone_number": "304-253-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Brookshire Ln",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258016761",
            "country_code": "US",
            "telephone_number": "304-255-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMLEY",
        "first_name": "MIRANDA",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "113674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miranda_plumley@teamhealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 Brookshire Ln",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258016761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.