Individual provider Active NPI

Noelle Nicole Brossman, FNP-C

  • Family Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1558824854
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
102690 Issued in WV
Practice address
620 National Rd Ste 300
Wheeling, WV 26003-6560
Phone
(304) 233-3627
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 102690 WV Primary

Addresses

Primary practice location

620 National Rd Ste 300
Wheeling, WV 26003-6560

Mailing address

222 Elm Crest Dr
Wheeling, WV 26003-5070
Phone (412) 995-8121

Other practice location 1

218 Three Springs Dr
Weirton, WV 26062-3815
Phone (304) 723-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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
I20190627002398 WV Practitioner - Nurse Practitioner 4486988268
I20250714002176 OH Practitioner - Nurse Practitioner 4486988268

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: nbrossman20658@gohealthupmc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1558824854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ELM CREST DR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035070",
            "telephone_number": "412-995-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NATIONAL RD STE 300",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036560",
            "telephone_number": "304-233-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Three Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260623815",
            "country_code": "US",
            "telephone_number": "304-723-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSSMAN",
        "first_name": "NOELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "102690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.