Individual provider Active NPI

Brandy Nicole Phares, FNP

  • Family Nurse Practitioner
  • Clarksburg, WV
National Provider Identifier
1457710543
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77531 Issued in WV
Practice address
700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone
(304) 623-6330
Fax
(304) 623-6220
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 77531 WV Primary

Addresses

Primary practice location

700 Oakmound Rd
Clarksburg, WV 26301-9398

Mailing address

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone (304) 623-6330

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
I20160426000156 WV Practitioner - Nurse Practitioner 1557660545 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians
Community Care of West Virginia IncGroup PAC ID 0648189258, 8 clinicians

Practice addresses (Care Compare)

107 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

133 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-9510

149 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

591 Kappa Sigma Pi Dr
Clarksburg, WV 26301-7674
Phone (304) 473-5600

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone (304) 623-3874

Hospital & facility affiliations

  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Mar 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Apr 27, 2018 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 7, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Community Care of West Virginia Inc CurrentSince Mar 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince Nov 22, 2022 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Feb 25, 2020 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 27, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jan 27, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients

Locations

77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440

700 Oakmound Rd
Clarksburg, WV 26301
Phone (304) 623-1330

78 Queens Alley Rd
Rock Cave, WV 26234

133 Staunton Dr
Weston, WV 26452
Phone (304) 269-9510

107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Interoperability endpoints

  • Direct secure messaging: brandy.phares.1@4803.direct.athenahealth.com

Organizations & group practices 51

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.

View all 51

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1457710543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019398",
            "telephone_number": "304-623-6330",
            "fax_number": "304-623-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019398",
            "telephone_number": "304-623-6330",
            "fax_number": "304-623-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARES",
        "first_name": "BRANDY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "77531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

Verify at the official NPI Registry.