Active NPI
Julie Ann Quillin, NP-C
- Family Nurse Practitioner
- Ronceverte, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 69950
- Practice address
- 9016 Seneca TRL S
Ronceverte, WV 24970-8375 - Phone
- (681) 318-3477
- Fax
- (681) 318-3479
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 69950 | WV | Primary |
Addresses
Primary practice location
9016 Seneca TRL S
Ronceverte, WV 24970-8375
Mailing address
499 Meadow LN
Lewisburg, WV 24901-1807
Phone (304) 647-0957
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9016 Seneca TRL S
Ronceverte, WV 24970-8375
Phone (681) 318-3477
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69950 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Current | Accepting new patients | |
| Rainelle Medical Center Inc | Current | Accepting new patients | |
| Rainelle Medical Center Inc | Current | Accepting new patients | |
| Rainelle Medical Center, Inc. | Current | Accepting new patients | |
| United Physicians Care Inc | Current | Accepting new patients | |
| Wvva Health Care Alliance, PC | Past | Accepting new patients |
Locations
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610
176 Medical Center Dr
Rainelle, WV 25962
205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922
9016 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 647-4968
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Shinnston, WV
- NPI 1184849200
-
- Federally Qualified Health Center (FQHC)
- Meadow Bridge, WV
- NPI 1093883324
-
- Federally Qualified Health Center (FQHC)
- Maxwelton, WV
- NPI 1528417946
-
- Federally Qualified Health Center (FQHC)
- Rainelle, WV
- NPI 1437227766
-
- Family Medicine Physician
- Grafton, WV
- NPI 1891863874
-
- Internal Medicine Physician
- Low Moor, VA
- NPI 1255371993
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ronceverte, WV
- NPI 1679299408
-
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
-
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1548793623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 MEADOW LN",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011807",
"telephone_number": "304-647-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9016 SENECA TRL S",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249708375",
"telephone_number": "681-318-3477",
"fax_number": "681-318-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLIN",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "69950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.