Individual provider Active NPI

Staci Diane Johnson Knight, FNP-C

  • Family Nurse Practitioner
  • Logan, WV
National Provider Identifier
1467947895
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN62781 Issued in WV
Practice address
20 Hospital Dr
Logan, WV 25601-3452
Phone
(304) 831-1101
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X PENDING WV
Family Nurse Practitioner 363LF0000X APRN62781 WV Primary

Addresses

Primary practice location

20 Hospital Dr
Logan, WV 25601-3452

Mailing address

8 Francis CT
Barboursville, WV 25504-9699
Phone (304) 417-4895

Other practice location 1

2827 5th Ave
Huntington, WV 25702-1435
Phone (304) 399-7182

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
I20181022001769 WV Practitioner - Nurse Practitioner 3678826617 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group West Virginia PLLC 37 clinicians
St Marys Hospitalist Services LLC 45 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-3446

2900 1St Ave
RM 1025
Huntington, WV 25702-1241
Phone (304) 399-7484

Hospital & facility affiliations

  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGWVMDFamily Medicine Physician
APRN62781WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC Nurse Practitioner CurrentSince Sep 11, 2023 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC CurrentSince May 6, 2020 Accepting new patients
Stonerise Services, LLC Nurse Practitioner CurrentSince Dec 5, 2023 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Jun 13, 2022 Accepting new patients
St. Mary'S Medical Management, LLC Nurse Practitioner CurrentSince Jun 13, 2022 Accepting new patients
PA Post Acute Services PC CurrentSince May 12, 2024 Accepting new patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC CurrentSince May 6, 2020 Accepting new patients
Apogee Medical Group, West Virginia, PLLC Nurse Practitioner CurrentSince Aug 17, 2018 Accepting new patients

Locations

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

700 Chappell Rd
Charleston, WV 25304
Phone (304) 343-1950

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2827 5th Ave
Huntington, WV 25702
Phone (304) 399-7182

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

Organizations & group practices 9

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 2

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1467947895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FRANCIS CT",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255049699",
            "telephone_number": "304-417-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013452",
            "telephone_number": "304-831-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2827 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021435",
            "country_code": "US",
            "telephone_number": "304-399-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "STACI",
        "middle_name": "DIANE JOHNSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN62781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.