Individual provider Active NPI

Stephanie Davidson, FNP-BC

  • Family Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1508520321
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111007 Issued in WV
Practice address
651 Colliers Way Ste 409a
Weirton, WV 26062-5055
Phone
(304) 723-7127
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 111007 WV Primary

Addresses

Primary practice location

651 Colliers Way Ste 409a
Weirton, WV 26062-5055

Mailing address

815 Euclid Ave
Toronto, OH 43964-1207
Phone (740) 219-1771

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
I20220502000058 WV Practitioner - Nurse Practitioner 7618364159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

651 Colliers Way
Weirton, WV 26062-5055
Phone (304) 723-7127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111007WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Jan 22, 2022 Accepting new patients
WMC Physician Practices LLC CurrentSince Jan 22, 2022 Accepting new patients

Locations

1421 Main St
Follansbee, WV 26037
Phone (304) 527-5075

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

651 Colliers Way
Ste 409
Weirton, WV 26062
Phone (304) 723-7127

651 Colliers Way
Ste 409A
Weirton, WV 26062
Phone (304) 723-7127

Interoperability endpoints

  • Direct secure messaging: sdavidson209863@direct.wvuhsdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1508520321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EUCLID AVE",
            "city": "TORONTO",
            "state": "OH",
            "postal_code": "439641207",
            "telephone_number": "740-219-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 409A",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625055",
            "telephone_number": "304-723-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "111007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.