Individual provider Active NPI

Gretchen Dawn Egbert Sprouse, MD

  • Family Medicine Physician
  • Ranson, WV
National Provider Identifier
1497048904
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26397 Issued in WV
Practice address
203 E 4TH Ave
Uhp Women'S Health & Family Medicine
Ranson, WV 25438-1617
Phone
(304) 725-6343
Fax
(304) 725-5523
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26397 WV Primary

Addresses

Primary practice location

203 E 4TH Ave
Uhp Women'S Health & Family Medicine
Ranson, WV 25438-1617

Mailing address

203 E 4TH Ave
Uhp Women'S Health & Family Medicine
Ranson, WV 25438-1617

Other names 1

  • Gretchen Dawn Egbert Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gsprouse12105@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gsprouse12105@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gsprouse12105@direct.wvuhsdirect.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023002428 WV Practitioner - Family PracticePractitioner - Other (Physician) 3577781608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

203 E 4TH Ave
Ranson, WV 25438-1617
Phone (304) 725-6343

2189 Health Science Ctr N
Room 2124
Morgantown, WV 26506
Phone (304) 598-4800

Medical Ctr Dr
Morgantown, WV 26506
Phone (304) 598-4000

PO Box
Suite 8049
Morgantown, WV 26506

Ruby Hosp 3Rd FL
Morgantown, WV 26506
Phone (304) 598-4800

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Education Building-Urgent Care CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince Aug 23, 2015 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince Aug 23, 2015 Accepting new patients
West Virginia University Medical Corporation Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

203 E 4th Ave
Ranson, WV 25438
Phone (304) 535-6343

Interoperability endpoints

  • Direct secure messaging: gsprouse12105@direct.wvuhsdirect.com

Organizations & group practices 6

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 5

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1497048904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 4TH AVE",
            "address_2": "UHP WOMEN'S HEALTH & FAMILY MEDICINE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E 4TH AVE",
            "address_2": "UHP WOMEN'S HEALTH & FAMILY MEDICINE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381617",
            "telephone_number": "304-725-6343",
            "fax_number": "304-725-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "GRETCHEN",
        "middle_name": "DAWN EGBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "26397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsprouse12105@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 E 4th Ave",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254381617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsprouse12105@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 E 4th Ave",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254381617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsprouse12105@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 E 4th Ave",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254381617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "EGBERT",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ranson, WV

Sources for this page

Verify at the official NPI Registry.