Individual provider Active NPI

Dama Vance, FNP-C

  • Family Nurse Practitioner
  • Romney, WV
National Provider Identifier
1447470349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41662 Issued in WV
Practice address
RT 50 East Sunrise Professional Building
Romney, WV 26757
Phone
(304) 822-3838
Fax
(304) 822-7665
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 41662 WV Primary

Addresses

Primary practice location

RT 50 East Sunrise Professional Building
Romney, WV 26757

Mailing address

PO Box 17237
Romney, WV 26757
Phone (304) 822-3838

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
I20081027000060 WV Practitioner - Nurse Practitioner 7719045376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology - Erik B HurstGroup PAC ID 1456445667, 4 clinicians

Practice addresses (Care Compare)

1000 Sushruta Dr
Martinsburg, WV 25401-8876
Phone (304) 263-3933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.31 of 100Reported as individual
Quality
80.39
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41662WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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 5

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447470349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17237",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "26757",
            "telephone_number": "304-822-3838",
            "fax_number": "304-822-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 50 EAST SUNRISE PROFESSIONAL BUILDING",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "26757",
            "telephone_number": "304-822-3838",
            "fax_number": "304-822-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "DAMA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "41662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

Verify at the official NPI Registry.