Individual provider Active NPI

Hannah Broadwater

  • Family Nurse Practitioner
  • Lewisburg, WV
National Provider Identifier
1609256676
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70496 Issued in WV
Practice address
289 Dawkins Dr
Lewisburg, WV 24901-9674
Phone
(304) 793-0005
NPI assigned
Jun 4, 2015
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 70496 WV Primary

Addresses

Primary practice location

289 Dawkins Dr
Lewisburg, WV 24901-9674

Mailing address

400 Association Dr Ste 102
Charleston, WV 25311-1298

Other practice location 1

296 Fair St
Lewisburg, WV 24901-2632
Phone (304) 647-4747

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150804003716 WV Practitioner - Nurse Practitioner 4385958412 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1521 Maplewood Ave
Ronceverte, WV 24970-8026
Phone (304) 647-5642

231 Dawkins Dr
Lewisburg, WV 24901-9674
Phone (304) 645-8095

233 Dawkins Dr
Lewisburg, WV 24901-9674

289 Dawkins Dr
Lewisburg, WV 24901-9674
Phone (304) 793-0005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70496WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc. CurrentSince Feb 23, 2019 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 22, 2022 Accepting new patients
Rainelle Medical Center Inc CurrentSince Dec 22, 2022 Accepting new patients
Rainelle Medical Center Inc CurrentSince Feb 23, 2019 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 23, 2019 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Camc Greenbrier Valley Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 22, 2022 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 22, 2022 Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients
Greenbrier VMC LLC Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

2140 Jefferson St N
Lewisburg, WV 24901

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

289 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 793-0005

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

1521 Maplewood Ave
Ronceverte, WV 24970

458 Greenbrier St
Rupert, WV 25984
Phone (304) 632-6602

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Interoperability endpoints

  • Direct secure messaging: hannahbroadwater@rmc.allscriptsdirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1609256676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASSOCIATION DR STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019674",
            "telephone_number": "304-793-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 Fair St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249012632",
            "country_code": "US",
            "telephone_number": "304-647-4747",
            "fax_number": "304-647-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADWATER",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "70496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.