NPIMap

Individual provider Active NPI

Joann Nutter, C-FNP

  • Family Nurse Practitioner
  • West Union, WV
National Provider Identifier
1568568210
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33974 Issued in WV
Practice address
302 Columbia St
West Union, WV 26456-1108
Phone
(304) 873-2590
Fax
(304) 873-1792
NPI assigned
Sep 16, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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 33974 WV Primary

Addresses

Primary practice location

302 Columbia St
West Union, WV 26456-1108

Mailing address

686 S Pike St
Ste a
Shinnston, WV 26431-1043
Phone (304) 624-4655

Other identifiers 1

IdentifierTypeStateIssuer
0166946000MedicaidWV

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
I20070905000711 WV Practitioner - Nurse Practitioner 5496848574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

104 Columbia St
West Union, WV 26456-1164
Phone (304) 873-2590

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
33974WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Current Accepting new patients
United Physicians Care Inc CurrentSince Apr 11, 2003 Accepting new patients
United Physicians Care Inc CurrentSince Apr 11, 2003 Accepting new patients
United Physicians Care Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

617 River St
Gassaway, WV 26624
Phone (304) 364-2401

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

21 Medical Center Dr
Pennsboro, WV 26415
Phone (304) 659-2986

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

686 S Pike St
#A
Shinnston, WV 26431
Phone (304) 624-4655

104 Columbia St
West Union, WV 26456
Phone (304) 873-2590

Organizations & group practices 5

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 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1568568210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 S PIKE ST",
            "address_2": "STE A",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311043",
            "telephone_number": "304-624-4655",
            "fax_number": "304-624-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COLUMBIA ST",
            "city": "WEST UNION",
            "state": "WV",
            "postal_code": "264561108",
            "telephone_number": "304-873-2590",
            "fax_number": "304-873-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "JOANN",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "33974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166946000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, WV

Sources for this page

Verify at the official NPI Registry.