Carlyn Ashley Duelley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175126 Issued in VA

Practice address

812 Amherst St Ste 201
Winchester, VA 22601-3344

Phone

(540) 450-1600

NPI assigned

Aug 26, 2017

Sex

Female

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 VA, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlynduelley@rpa.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/11497/brand/1/csg/1/fhir/r4

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.

• Renal Physician Associates of Winchester PLC

  • Medical Specialty Clinic/Center
  • Winchester, VA
  • NPI 1528142577
  Medicare reassignment NPD
• Mountaineer Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Paw Paw, WV
  • NPI 1033299862
  Medicare reassignment NPD
• Wellbe Medical Group of West Virginia Inc

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1184331514
  Medicare reassignment NPD

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503705600000",
    "number": "1578080925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "PAW PAW",
            "state": "WV",
            "postal_code": "254340103",
            "telephone_number": "304-947-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AMHERST ST STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013344",
            "telephone_number": "540-450-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUELLEY",
        "first_name": "CARLYN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2017-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Drury
• Kristen Drury
• Shelby Dublin, DPT
• Leda Broderick Duck, MD
• Robert W Duck, MD
• Katherine Dullaghan
• Alisha Brooke Dumm, MA
• James P Dumont, MD
• Ronald Steven Duncan Jr., AGACNP-BC
• Chad B Dunn, MD

• Family Nurse Practitioner in Winchester, VA
• Providers in Winchester, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2017; 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.