Individual provider Active NPI

Wendy Lee Fitzgerald, PMHNP-BC

  • Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1508415910
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104262 Issued in WV
Practice address
235 S Water St
Martinsburg, WV 25401-4241
Phone
(304) 263-8954
Fax
(304) 264-0763
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 104262 WV Primary

Addresses

Primary practice location

235 S Water St
Martinsburg, WV 25401-4241

Mailing address

235 S Water St
Martinsburg, WV 25401-4241
Phone (304) 263-8954

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
I20191108002831 WV Practitioner - Nurse Practitioner 0446682686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Panhandle Mental Health (Rehab)Group PAC ID 3375532633, 10 clinicians

Practice addresses (Care Compare)

235 S Water St
Martinsburg, WV 25401-4241
Phone (304) 263-8954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104262WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Panhandle Mental Health (Rehab) CurrentSince Sep 3, 2019 Accepting new patients
Eastern Panhandle Mental Health Center (Group) Past Accepting new patients

Locations

89 Sugar Hollow Rd
Berkeley Springs, WV 25411
Phone (304) 258-2889

340 Edmond Rd
Ste D
Kearneysville, WV 25430
Phone (304) 725-7565

235 S Water St
Martinsburg, WV 25401
Phone (304) 263-8954

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1508415910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-264-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S WATER ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014241",
            "telephone_number": "304-263-8954",
            "fax_number": "304-264-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "104262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.