Chantell Dawn Coby, MSN, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN52981NP Issued in WV

Practice address

206 Jackson St
Moorefield, WV 26836-1287

Phone

(304) 530-5980

NPI assigned

Jan 8, 2015

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Miller Family Healthcare LLCGroup PAC ID 4385918465, 2 clinicians

Trinity Family Health Care LLCGroup PAC ID 3072831692, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chantell.coby.1@10160.direct.athenahealth.com
• Direct secure messaging: chantell.coby.2@10160.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10160/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15954/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miller Family Healthcare LLC

  • Family Nurse Practitioner
  • Moorefield, WV
  • NPI 1356873558
  Medicare reassignment Care Compare group NPD
• Trinity Family Health Care, LLC

  • Family Nurse Practitioner
  • Romney, WV
  • NPI 1881091940
  Medicare reassignment Care Compare group NPD
• Trinity Primary Care LLC

  dba Trinity Primary Care

  • Family Nurse Practitioner
  • Romney, WV
  • NPI 1912711342
  Medicare reassignment NPD

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1609264969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 JACKSON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361287",
            "telephone_number": "304-530-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JACKSON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361287",
            "telephone_number": "304-530-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 N Bolton St",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267571635",
            "country_code": "US",
            "telephone_number": "304-359-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBY",
        "first_name": "CHANTELL",
        "middle_name": "DAWN",
        "credential": "MSN, RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "MC5162728",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN52981NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "N97199",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "MC3485706",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "RXA2699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bradford
• Burlington United Methodist Family Services, Inc.
• Samantha Jo Capel
• Sandra Carriger
• Melissa Schell Clark, MSCCC/SLP
• Sarah Combs
• Brandy Sue Cooper
• Amy Lynn Cosner
• County of Hardy
• Bonnie Cox, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Moorefield, WV
• Providers in Moorefield, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.