Individual provider Active NPI

Madison Crissey

  • Women's Health Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1619784857
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
106845 Issued in WV
Practice address
2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168
Phone
(304) 599-6811
Fax
(304) 599-7159
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN707156 PA
Women's Health Nurse Practitioner 363LW0102X 106845 WV Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168

Mailing address

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168
Phone (304) 599-6811

Other practice location 1

1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone (304) 366-6100

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
I20250131003647 WV Practitioner - Nurse Practitioner 1759810997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

2000 Mon Health Medical Park Dr
Suite 2100
Morgantown, WV 26505-1168
Phone (304) 599-6811

Hospital & facility affiliations

  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN707156PAMDWomen's Health Nurse Practitioner
106845WVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Feb 3, 2025 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

1 Huntington Way
Ste 100
Fairmont, WV 26554
Phone (304) 363-6210

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

2000 Mon Health Medical Park Dr
Ste 2100
Morgantown, WV 26505
Phone (304) 599-6811

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1619784857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-6811",
            "fax_number": "304-599-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-6811",
            "fax_number": "304-599-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Huntington Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265548819",
            "country_code": "US",
            "telephone_number": "304-366-6100",
            "fax_number": "304-366-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISSEY",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "RN707156",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "106845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.