NPIMap

Individual provider Active NPI

Nicholas Samuel Muscari, D.O.

  • Family Medicine Physician
  • Princeton, WV
National Provider Identifier
1548557341
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2781 Issued in WV
Practice address
324 Oakvale Rd Ste 12
Princeton, WV 24740-3829
Phone
(681) 282-5576
Fax
(681) 282-5583
NPI assigned
Jun 30, 2011
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2781 WV Primary

Addresses

Primary practice location

324 Oakvale Rd Ste 12
Princeton, WV 24740-3829

Mailing address

3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140710002112 WV Practitioner - Family Practice 0244455004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

106 Thorn St
Princeton, WV 24740-3560
Phone (681) 282-5609

324 Oakvale Rd
Suite 12
Princeton, WV 24740-3829
Phone (681) 282-5576

701 Bland St
Bluefield, WV 24701-3503
Phone (304) 800-5413

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2781WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Health Association, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. CurrentSince Sep 15, 2017 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Feb 24, 2021 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Sep 15, 2017 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Feb 24, 2021 Accepting new patients

Locations

701 Bland St
Bluefield, WV 24701
Phone (304) 800-5413

106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501

3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392
  • Direct secure messaging: nsmuscar@yourcarecommunity.org

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1548557341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 12",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "681-282-5576",
            "fax_number": "681-282-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARI",
        "first_name": "NICHOLAS",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.