Wendy M Beall, NP
Individual provider Active NPI Family Nurse Practitioner · Grantsville, WV
NPI 1629325519 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1629325519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 62856 (WV)
- Practice address
- 186 Hospital Dr
Grantsville, WV 26147-7100 - Phone
- (304) 354-9244
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120917000756 | WV | Order and Referring Only - Nurse Practitioner | 4183872187 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62856 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnie Hamilton Health Care Center Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Minnie Hamilton Health Care Center Inc | Past | Accepting new patients | |
| Minnie Hamilton Health Care Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- wendy.beall.1@14266.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 62856 | WV | Yes |
Addresses
Primary practice location
186 Hospital Dr
Grantsville, WV 26147-7100
Mailing address
186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 354-9244
Other providers in Grantsville, WV
- Brenda Darlene Ackley
- Atlanta Adkins
- Suresh Balasubramony
- Melissa Dawn Barker
- David E Barr
- Jessica Lynn Bell
- Sarah Irene Blake
- Jacqueline Blankenship
- Elisabeth A Bolte
- Kelly Sue Brannan
All providers in Grantsville, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.