Chance Walther

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

121689 Issued in WV

Practice address

150 Duncan Rd
Buckeye, WV 24924-9037

Phone

(304) 799-7400

NPI assigned

Dec 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pocahontas Memorial Hospital

  • Critical Access Hospital
  • Buckeye, WV
  • NPI 1609842251
  Medicare reassignment NPD
• Richbend Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Elkins, WV
  • NPI 1093438830

  Nurse Practitioner

  Medicare reassignment NPD
• Pocahontas Memorial Hospital

  dba Pocahontas Memorial Hospital Ambulance Service

  • Ambulance
  • Buckeye, WV
  • NPI 1831394949
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1558177097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "GREEN BANK",
            "state": "WV",
            "postal_code": "249440242",
            "telephone_number": "304-456-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DUNCAN RD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHER",
        "first_name": "CHANCE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "121689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis E Soriano, MD
• Danielle Rae Stuart, PA-C
• Melanie Kay Taylor, PT
• Alan Robert Thorne, D.O.
• Teresa Moore Wagner, RN, CDE

• Nurse Practitioner in Buckeye, WV
• Providers in Buckeye, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.