Fonda Deeann Harrell, FNP
Individual provider Active NPI Family Nurse Practitioner · Rainelle, WV
NPI 1417200445 · NPPES record last updated Jan 17, 2019
Key facts
- NPI
- 1417200445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 63171 (WV)
- Practice address
- 176 Medical Center Dr
Rainelle, WV 25962-1064 - Phone
- (304) 438-6188
- Fax
- (304) 438-6819
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rainelle Medical Center Inc
Practice addresses (Care Compare)
26737 Midland Trail
Hico, WV 25854
Phone (304) 969-8080
390 Industrial Park Rd
Maxwelton, WV 24957-8073
Phone 30443861881002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160130000100 | WV | Practitioner - Nurse Practitioner | 7416258801 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63171 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current | Accepting new patients | |
| Rainelle Medical Center, Inc | Current | Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Mountain State Vascular, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center Inc | Current | Accepting new patients | |
| Rainelle Medical Center, Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center Inc | Current | Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current | Accepting new patients | |
| Rainelle Medical Center Inc | Past | Accepting new patients | |
| Rainelle Medical Center, Inc. | Past | Accepting new patients | |
| CM Oneal MD Inc | Past |
Accepting new patients |
Locations
101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818
120 George St
Beckley, WV 25801
Phone (304) 250-0382
296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747
595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052
2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042
390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610
176 Medical Center Dr
Rainelle, WV 25962
205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922
8849 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 520-4966
128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454
Interoperability endpoints
- fondaharrell@rmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 63171 | WV | Yes |
Addresses
Primary practice location
176 Medical Center Dr
Rainelle, WV 25962-1064
Mailing address
176 Medical Center Dr
Rainelle, WV 25962-1064
Phone (304) 438-6188
Other practice location 1
122 George St
Beckley, WV 25801
Phone (304) 250-0382
Other providers in Rainelle, WV
- Abrienda Alexandria Hanna
- Alyssa Ann Hanna
- Lindsey Marie Hanna
- Tammy Jean Hanna
- Thomas Harrah Jr.
- Destiny Hayes
- Heartland of Rainelle WV LLC
- Heather Gail Heaster
- Brittany Hedrick
- Holly Anne Hendrix
All providers in Rainelle, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.