Individual provider Active NPI

Peyton Mackenzie Welch, DNP

  • Family Nurse Practitioner
  • Ranson, WV
National Provider Identifier
1609474006
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107015 Issued in WV
Practice address
100 Oak Lee Dr
Ranson, WV 25438-4879
Phone
(681) 247-1250
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 107015 WV Primary

Addresses

Primary practice location

100 Oak Lee Dr
Ranson, WV 25438-4879

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

Other practice location 2

120 Campus Dr Ste 100
Martinsburg, WV 25404-7552
Phone (681) 247-1250

Other names 1

  • Payton Machenzie Smith Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address psmith115768@soc.inova.org
Direct Messaging Address psmith115768@soc.inova.org
Direct Messaging Address psmith115768@soc.inova.org

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
I20201217002109 WV Practitioner - Nurse Practitioner 5294147187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Current Accepting new patients
East Mountain Health Physicians Inc CurrentSince Dec 13, 2020 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Dec 13, 2020 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 210
Winchester, VA 22601

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

120 Campus Dr
Ste 100
Martinsburg, WV 25404
Phone (681) 247-1250

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 221
Martinsburg, WV 25404
Phone (681) 247-1280

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: psmith115768@soc.inova.org
  • Direct secure messaging: pwelch115768@valleyhealth.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1609474006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAK LEE DR",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384879",
            "telephone_number": "681-247-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Administrative Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046378",
            "country_code": "US",
            "telephone_number": "304-350-3200",
            "fax_number": "304-350-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-247-1250",
            "fax_number": "681-247-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "PEYTON",
        "middle_name": "MACKENZIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psmith115768@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254046378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psmith115768@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr Ste 100",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psmith115768@soc.inova.org",
            "affiliation": "N",
            "address_1": "100 Oak Lee Dr",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254384879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAYTON",
            "last_name": "SMITH",
            "middle_name": "MACHENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ranson, WV

Sources for this page

Verify at the official NPI Registry.