Susan Elaine Runyon, CFNP
Individual provider Active NPI Family Nurse Practitioner · Hurricane, WV
NPI 1497731160 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1497731160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP01993 (OH)
- Practice address
- 1100 Hospital Dr
Hurricane, WV 25526-8712 - Phone
- (304) 757-8683
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Health Systems, Inc
Practice addresses (Care Compare)
1100 Hospital Dr
Hurricane, WV 25526-8712
Phone (304) 757-8683
2501 Jackson Ave
Point Pleasant, WV 25550-2035
Phone (304) 857-0004
2585 3Rd Ave
Huntington, WV 25703-1642
540 10TH St
Huntington, WV 25701-2217
Phone (304) 399-3366
6350 US Route 60 E
Barboursville, WV 25504-1232
Phone (304) 399-3350
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040426001092 | OH | Practitioner - Nurse Practitioner | 1759378573 | Reassigns benefits to 1 organization |
| I20050517000459 | WV | Practitioner - Nurse Practitioner | 1759378573 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01993 | OH | MD | Nurse Practitioner |
| NP01993 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Nurse Practitioner | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems, Inc | Family | Current |
Accepting new patients |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Family | Current | Accepting new patients |
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Family | Current |
Accepting new patients |
| Valley Health Systems, Inc. | Family | Current |
Accepting new patients |
| Valley Health Systems, Inc | Nurse Practitioner | Current | Accepting new patients |
| Valley Health Systems Inc | Current | Accepting new patients | |
| Valley Health Systems, Inc. | Family | Current |
Accepting new patients |
| Pain Care, PLLC | Past | Accepting new patients | |
| Valley Health Systems Inc | Past | Accepting new patients |
Locations
205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188
5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222
6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350
864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807
540 10th St
Huntington, WV 25701
Phone (304) 399-3366
1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
4290 US Route 60
Huntington, WV 25705
Phone (304) 781-5001
1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683
220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407
2801 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-4107
2501 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-2303
42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136
Interoperability endpoints
- srunyon20423@valleyhealthsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 01993 | OH | |
| Family Nurse Practitioner | 363LF0000X | NP01993 | OH | Yes |
Addresses
Primary practice location
1100 Hospital Dr
Hurricane, WV 25526-8712
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 697-1396
Other practice location 1
205 Marion Pike
Coal Grove, OH 45638-3165
Phone (740) 532-1188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7103212000 | Medicaid | WV | |
| 2120332 | Medicaid | OH |
Other providers in Hurricane, WV
- Tana Ross-Phalen
- Lauren Mikaela Ross
- Ella Alana Rowley
- Jenna Diane Runyan
- Angela Runyon
- Cheyenne Rose Russell
- Lynn Russell
- Michelle Russell
- Karen Marie Rutledge
- Khori Rutter
All providers in Hurricane, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.