Active NPI
Michele R Lilley, FNP-BC
- Family Nurse Practitioner
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 84107
- Practice address
- 177 Middletown Rd, Ste1
Upc Whitehall Medical
Fairmont, WV 26554 - Phone
- (304) 366-6600
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 84107 | WV | Primary |
Addresses
Primary practice location
177 Middletown Rd, Ste1
Upc Whitehall Medical
Fairmont, WV 26554
Mailing address
PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Medical Park Dr
Suite 100
Bridgeport, WV 26330-9013
Phone (681) 342-3490
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842
469 Emily Dr
Clarksburg, WV 26301-5512
Phone (304) 423-5180
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Current | Accepting new patients | |
| United Hospital Center, Inc. | Current | Accepting new patients | |
| United Physicians Care Inc | Current | Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
469 Emily Dr
Clarksburg, WV 26301
Phone (304) 423-5180
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
177 Middletown Rd
Ste 1
White Hall, WV 26554
Phone (304) 363-6600
Interoperability endpoints
- mlilley114733@direct.wvuhsdirect.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
-
- Family Medicine Physician
- Shinnston, WV
- NPI 1184849200
-
- Family Medicine Physician
- Grafton, WV
- NPI 1891863874
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1457872376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 763",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070763",
"telephone_number": "800-541-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 MIDDLETOWN RD, STE1",
"address_2": "UPC WHITEHALL MEDICAL",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLEY",
"first_name": "MICHELE",
"middle_name": "R",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "84107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.