Individual provider Active NPI

Charity Ann Balentine, FNP-C

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1538701248
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178148 Issued in VA
Practice address
607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone
(540) 536-2232
NPI assigned
Oct 14, 2019
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104792 WV
Family Nurse Practitioner 363LF0000X 0024178148 VA Primary

Addresses

Primary practice location

607 E Jubal Early Dr
Winchester, VA 22601-5178

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other practice location 1

33820 Old Valley Pike Ste 2
Strasburg, VA 22657-3793
Phone (540) 459-1310

Other practice location 2

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

Other practice location 3

160 Merchant St Ste 200
Winchester, VA 22603-4772
Phone (540) 536-5950

Other practice location 4

415A South St
Front Royal, VA 22630-2115
Phone (540) 636-0495

Other practice location 5

65 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (540) 635-0700

Other practice location 6

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

Other names 1

  • Charity Ann Smith Former name

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address cbalentine114158@soc.inova.org
Direct Messaging Address cbalentine114158@soc.inova.org
Direct Messaging Address cbalentine114158@soc.inova.org
Direct Messaging Address cbalentine114158@soc.inova.org
Direct Messaging Address cbalentine114158@soc.inova.org
Direct Messaging Address cbalentine114158@soc.inova.org
Direct Messaging Address cbalentine114158@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200107001954 VA Practitioner - Nurse Practitioner 3678907219 Reassigns benefits to 1 organization
I20200210000909 WV Practitioner - Nurse Practitioner 3678907219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Enterprises, IncGroup PAC ID 0446164495, 53 clinicians

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

120 Campus Dr
Martinsburg, WV 25404-7552

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

97 Administrative Dr
Martinsburg, WV 25404-6378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024178148VAMDFamily Nurse Practitioner
104792WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Current Accepting new patients
Valley Regional Enterprises, Inc CurrentSince Jan 13, 2020 Accepting new patients
East Mountain Health Physicians Inc CurrentSince Jan 13, 2020 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Jan 13, 2020 Accepting new patients
Valley Regional Enterprises, Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

415A South St
Front Royal, VA 22630
Phone (540) 636-0495

65 Riverton Commons Dr
Front Royal, VA 22630
Phone (540) 635-0700

33820 Old Valley Pike
Ste 2
Strasburg, VA 22657
Phone (540) 459-1310

160 Merchant St
#200
Winchester, VA 22603
Phone (540) 536-5950

220 Campus Blvd
Ste 100
Winchester, VA 22601

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: cbalentine114158@soc.inova.org
  • Direct secure messaging: cbalentine114158@valleyhealth.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1538701248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E JUBAL EARLY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015178",
            "telephone_number": "540-536-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33820 Old Valley Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "VA",
            "postal_code": "226573793",
            "country_code": "US",
            "telephone_number": "540-459-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Administrative Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046378",
            "country_code": "US",
            "telephone_number": "304-350-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Merchant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034772",
            "country_code": "US",
            "telephone_number": "540-536-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415A South St",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302115",
            "country_code": "US",
            "telephone_number": "540-636-0495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Riverton Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306768",
            "country_code": "US",
            "telephone_number": "540-635-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Oak Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254384879",
            "country_code": "US",
            "telephone_number": "304-930-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALENTINE",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104792",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "607 E Jubal Early Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226015178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254046378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "100 Oak Lee Dr",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254384879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Merchant St Ste 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226034772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "415A South St",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "33820 Old Valley Pike Ste 2",
            "city": "Strasburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226573793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbalentine114158@soc.inova.org",
            "affiliation": "N",
            "address_1": "65 Riverton Commons Dr",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "SMITH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.