Individual provider Active NPI

Kristin Gail Bailes, FNP-C

  • Family Nurse Practitioner
  • Nettie, WV
National Provider Identifier
1417209784
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66159 Issued in WV
Practice address
110 Panther Creek Road
Nettie, WV 26681
Phone
(304) 846-2484
Fax
(304) 226-3274
NPI assigned
Oct 10, 2012
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 66159 WV Primary

Addresses

Primary practice location

110 Panther Creek Road
Nettie, WV 26681

Mailing address

305 Chestnut Hill Rd
Summersville, WV 26651-1856
Phone (304) 619-8282

Other practice location 1

10003 Webster Rd
Camden ON Gauley, WV 26208-7713
Phone (304) 226-5725

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
I20130926000705 WV Practitioner - Nurse Practitioner 8224272596 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden on Gauley Medical Center IncGroup PAC ID 6002867850, shared by 25 NPIs, 26 clinicians

Practice addresses (Care Compare)

101 Florence St
Ansted, WV 25812-5200
Phone (304) 658-6007

110 Panther Creek Elementary Rd
Nettie, WV 26681-1200
Phone (304) 846-2542

16 W Main St
Richwood, WV 26261-1008
Phone (304) 846-2608

16414 Webster Rd
Craigsville, WV 26205-8512
Phone (304) 742-3004

190 Riverside Dr
Richwood, WV 26261-1251
Phone (304) 846-2588

300 Minuteman Dr
Weston, WV 26452-2200
Phone (304) 997-8701

415 Main St
Summersville, WV 26651-1343
Phone (304) 872-1663

46 Red Oak Dr
Craigsville, WV 26205-3102
Phone (304) 742-5999

56 Park St
Cowen, WV 26206-3302
Phone (304) 226-5725

70 Grade School LN
Summersville, WV 26651-1897
Phone (304) 872-2178

71 Ave a
Richwood, WV 26261-1204
Phone (304) 846-2608

7950 Webster Rd
Summersville, WV 26651-9522
Phone (304) 226-5725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camden on Gauley Medical Center Inc CurrentSince Feb 1, 2017 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 14, 2024 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jun 21, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jul 20, 2015 Accepting new patients
Camden on Gauley Medical Center, Inc CurrentSince Jan 2, 2024 Accepting new patients
Camden on Gauley Medical Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jun 21, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jun 21, 2023 Accepting new patients
Camden on Gauley Medical Center Inc. CurrentSince Mar 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jul 20, 2015 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

101 Florence St
Ansted, WV 25812
Phone (304) 658-5100

10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725

56 Park St
Cowen, WV 26206
Phone (304) 226-5275

100 School St
Craigsville, WV 26205
Phone (304) 742-1061

16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004

46 Red Oak Dr
Craigsville, WV 26205
Phone (304) 742-5737

110 Panther Creek Elementary Rd
Nettie, WV 26681
Phone (304) 742-1061

16 W Main St
Richwood, WV 26261
Phone (304) 846-0207

190 Riverside Dr
Richwood, WV 26261
Phone (304) 846-2588

190 Riverside Dr
Rm 2109
Richwood, WV 26261
Phone (304) 846-2588

71 Avenue A
Richwood, WV 26261
Phone (304) 846-2608

415 Main St
Summersville, WV 26651
Phone (304) 872-1663

70 Grade School Ln
Summersville, WV 26651
Phone 3042265725118

7950 Webster Rd
Summersville, WV 26651

1 Highlander Dr
Upperglade, WV 26266
Phone (304) 226-3993

300 Minuteman Dr
Weston, WV 26452
Phone (304) 997-8701

Interoperability endpoints

  • Direct secure messaging: kristin.bailes@cog-wv.directbygreenway.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1417209784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CHESTNUT HILL RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511856",
            "telephone_number": "304-619-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PANTHER CREEK ROAD",
            "city": "NETTIE",
            "state": "WV",
            "postal_code": "26681",
            "telephone_number": "304-846-2484",
            "fax_number": "304-226-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10003 Webster Rd",
            "address_purpose": "LOCATION",
            "city": "Camden ON Gauley",
            "state": "WV",
            "postal_code": "262087713",
            "country_code": "US",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILES",
        "first_name": "KRISTIN",
        "middle_name": "GAIL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "66159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nettie, WV

Sources for this page

Verify at the official NPI Registry.