Nina Pavlivna Kandyba, FNP-BC, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

103189 Issued in WV

Practice address

4020 US Route 60
Huntington, WV 25705-2944

Phone

(304) 525-7851

Fax

(304) 525-1073

NPI assigned

Apr 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, KY2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oncall Health and Aesthetic CareGroup PAC ID 9638472525, 10 clinicians

Prestera Center for Mental Health Services IncGroup PAC ID 9234029307, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stonerise Home Health Home health agency, Barboursville, WV, CCN 517129
• St Mary'S Home Health Service Home health agency, Huntington, WV, CCN 517055
• Adoration Home Health Home health agency, Charleston, WV, CCN 517115
• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kandyba-nina@e3dfd6d2.micromddirect.com

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.

• Oncall Health and Aesthetic Care

  • Psychiatry Physician
  • Ceredo, WV
  • NPI 1679944383

  KY, WV

  Medicare reassignment Care Compare group NPD
• Prestera Center for Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Barboursville, WV
  • NPI 1356336903

  WV

  Medicare reassignment Care Compare group NPD
• Prestera Center for Mental Health Services Inc

  • Primary Care Clinic/Center
  • Huntington, WV
  • NPI 1992394860
  NPD
• Cade Counseling and Consulting

  • Mental Health Counselor
  • Barboursville, WV
  • NPI 1508472671
  NPD (past)
• Kinetic Anesthesia Services

  • Anesthesiology Physician
  • Barboursville, WV
  • NPI 1306546445
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys West Virginia, L.L.C.

  • Home Health Agency
  • Charleston, WV
  • NPI 1700834553
  Care Compare affiliation
• St. Mary'S Medical Center Home Health Services, LLC

  • Home Health Agency
  • Huntington, WV
  • NPI 1073705539
  Care Compare affiliation
• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195

  Hospital

  Care Compare affiliation
• Stonerise Reliable Healthcare LLC

  • Home Health Agency
  • Barboursville, WV
  • NPI 1194244590
  Care Compare affiliation
• Ashland Hospital Corporation

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1568026243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "fax_number": "304-525-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052944",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021539",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDYBA",
        "first_name": "NINA",
        "middle_name": "PAVLIVNA",
        "credential": "FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013294",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "103189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abeer Kaddor
• Agon Kajmolli, MD
• Torren Alexa Kalaskey
• Maen Waddah Hatem Kamal, M.D
• David Douglas Kanarowski, DO
• Jennifer Kangas, LPC
• Albert Jeffrey Kaplan, CFNP
• Benjamin Franklin Karabasz
• Shristee Ghimire Karki, MD
• Kelley Alana Karlet, FNP

• Nurse Practitioner in Huntington, WV
• Providers in Huntington, 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 Aug 26, 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.

Verify at the official NPI Registry.