Individual provider Active NPI

Michele Calderon Villanueva, RN, MSN, C-FNP

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1447691076
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN50437NP Issued in WV
Practice address
2233 S Kanawha St
Beckley, WV 25801-6719
Phone
(304) 252-9680
Fax
(304) 252-9683
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 APRN50437NP WV Primary

Addresses

Primary practice location

2233 S Kanawha St
Beckley, WV 25801-6719

Mailing address

2233 S Kanawha St
Beckley, WV 25801-6719
Phone (304) 252-9680

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
I20131211000392 WV Practitioner - Nurse Practitioner 0244467686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckley-Raleigh County Board of HealthGroup PAC ID 7214940154, 2 clinicians

Practice addresses (Care Compare)

1602 Harper Rd
Beckley, WV 25801-3310
Phone (304) 252-8531

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN50437NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley-Raleigh County Board of Health CurrentSince Sep 29, 2015 Accepting new patients

Locations

1602 Harper Rd
Beckley, WV 25801
Phone (304) 252-8531

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1447691076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016719",
            "telephone_number": "304-252-9680",
            "fax_number": "304-252-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 S KANAWHA ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016719",
            "telephone_number": "304-252-9680",
            "fax_number": "304-252-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MICHELE",
        "middle_name": "CALDERON",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN50437NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.