Individual provider Active NPI

Madeline Dee Renner, FNP

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1417711151
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120367 Issued in WV
Practice address
6000 Memorial Church Dr
Morgantown, WV 26501-1503
Phone
(304) 292-7316
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 120367 WV Primary

Addresses

Primary practice location

6000 Memorial Church Dr
Morgantown, WV 26501-1503

Mailing address

6000 Memorial Church Dr
Morgantown, WV 26501-1503
Phone (304) 292-7316

Other practice location 1

1300 Fort Pierpont Dr
Morgantown, WV 26508-1380
Phone (304) 216-8751

Other practice location 2

1000 Mon Health Medical Park Dr Ste 1201
Morgantown, WV 26505-1143
Phone (304) 599-9400

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
I20241111003019 WV Practitioner - Nurse Practitioner 0840724050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Mon Health Medical Park Dr
Suite 1201
Morgantown, WV 26505-1143
Phone (304) 599-9400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Sep 1, 2024 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508
Phone (304) 241-7150

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

1000 Mon Health Medical Park Dr
Ste 1201
Morgantown, WV 26505
Phone (304) 599-9400

6000 Memorial Church Dr
Westover, WV 26501
Phone (304) 292-7316

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.

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1417711151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265011503",
            "telephone_number": "304-292-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265011503",
            "telephone_number": "304-292-7316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Fort Pierpont Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081380",
            "country_code": "US",
            "telephone_number": "304-216-8751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051143",
            "country_code": "US",
            "telephone_number": "304-599-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "MADELINE",
        "middle_name": "DEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "120367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.