Individual provider Active NPI

Brandon Waskey, FNP-BC

  • Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1437508868
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
61274 Issued in WV
Practice address
3100 Maccorkle Ave SE
Suite 700
Charleston, WV 25304-1223
Phone
(304) 347-1204
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 61274 WV Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE
Suite 700
Charleston, WV 25304-1223

Mailing address

PO Box 1547
Suite 700
Charleston, WV 25326-1547
Phone (304) 347-1204

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
I20160907001682 WV Practitioner - Nurse Practitioner 1355637000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, 65 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61274WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Dec 4, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 1, 2017 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Community Health Association Past Accepting new patients
Hospital Development Co Past Accepting new patients

Locations

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

3100 Maccorkle Ave SE
Ste 700
Charleston, WV 25304
Phone (304) 351-1500

3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

300 Hospital Dr
Spencer, WV 25276
Phone (304) 927-6136

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Organizations & group practices 5

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 3

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1437508868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "address_2": "SUITE 700",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253261547",
            "telephone_number": "304-347-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 700",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-347-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKEY",
        "first_name": "BRANDON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "61274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.