Individual provider Active NPI

Alicia Irene Vanmeter, RN, FNP-BC

  • Family Nurse Practitioner
  • Moorefield, WV
National Provider Identifier
1487044749
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
65986 Issued in WV
Practice address
112 Kuykendall LN
Moorefield, WV 26836-1167
Phone
(304) 530-7755
Fax
(304) 530-7756
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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 65986 WV Primary

Addresses

Primary practice location

112 Kuykendall LN
Moorefield, WV 26836-1167

Mailing address

376 Vanmeter Ridge Rd
Scherr, WV 26726-4503
Phone (304) 749-7719

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
I20150417000891 WV Practitioner - Nurse Practitioner 8820316144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Board of Health 2 clinicians

Practice addresses (Care Compare)

739 N Fork Hwy
Petersburg, WV 26847-5535
Phone (304) 257-4922

PO Box
Suite 608
Petersburg, WV 26847

Hospital & facility affiliations

  • Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65986WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Board of Health CurrentSince Apr 11, 2015 Accepting new patients

Locations

739 N Fork Hwy
Petersburg, WV 26847
Phone (304) 257-4922

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.

Hospital & facility affiliations 1

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1487044749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 VANMETER RIDGE RD",
            "city": "SCHERR",
            "state": "WV",
            "postal_code": "267264503",
            "telephone_number": "304-749-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KUYKENDALL LN",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361167",
            "telephone_number": "304-530-7755",
            "fax_number": "304-530-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMETER",
        "first_name": "ALICIA",
        "middle_name": "IRENE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "65986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

Verify at the official NPI Registry.