NPIMap

Individual provider Active NPI

Peggy Jane Huffman, RN MSN FNP-BC

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1437429362
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69062 Issued in WV
Practice address
3771 Robert C Byrd Dr
Box 1307
Beckley, WV 25801-2945
Phone
(304) 255-5710
Fax
(304) 255-5702
NPI assigned
Jan 10, 2012
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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 69062 WV Primary

Addresses

Primary practice location

3771 Robert C Byrd Dr
Box 1307
Beckley, WV 25801-2945

Mailing address

1310 Overlook Dr
Beckley, WV 25801-9239
Phone (304) 256-3854

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
I20120710000780 WV Practitioner - Nurse Practitioner 6507021912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh General Hospital LLCGroup PAC ID 6103735154, 27 clinicians

Practice addresses (Care Compare)

3771 Robert C Byrd Dr
Beckley, WV 25801-2945
Phone (304) 255-5710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
69062WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh General Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
Raleigh General Hospital CurrentSince Jan 1, 2023 Accepting new patients
Raleigh General Hospital Past Accepting new patients
Raleigh General Hospital LLC Past Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

3771 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 255-5666

3771 Robert C Byrd Dr
#1307
Beckley, WV 25801
Phone (304) 255-5710

Interoperability endpoints

  • Direct secure messaging: peggy.huffman.1@20211.direct.athenahealth.com
  • Direct secure messaging: peggy.huffman@wvafn.hcadirect.net

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 7

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1437429362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 OVERLOOK DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019239",
            "telephone_number": "304-256-3854",
            "fax_number": "304-255-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 ROBERT C BYRD DR",
            "address_2": "BOX 1307",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012945",
            "telephone_number": "304-255-5710",
            "fax_number": "304-255-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "PEGGY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RN MSN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "69062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.