Individual provider Active NPI

Madeline Nelson

  • Family Nurse Practitioner
  • Buckeye, WV
National Provider Identifier
1649009184
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120525 Issued in WV
Practice address
150 Duncan Rd
Buckeye, WV 24924-9037
Phone
(304) 799-7400
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 120525 WV Primary

Addresses

Primary practice location

150 Duncan Rd
Buckeye, WV 24924-9037

Mailing address

150 Duncan Rd
Buckeye, WV 24924-9037
Phone (304) 799-7400

Other names 1

  • Madeline Jerome Former name

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
I20241120000433 WV Practitioner - Nurse Practitioner 6002341641 Reassigns benefits to 2 organizations

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
Pocahontas Memorial HospitalGroup PAC ID 9234100645, 15 clinicians

Practice addresses (Care Compare)

150 Duncan Rd
Buckeye, WV 24924-9037
Phone (304) 799-7400

57 Duncan Rd
Buckeye, WV 24924-9044
Phone (304) 799-7400

Hospital & facility affiliations

  • Home Care Plus, Incorporated Home health agency, Lewisburg, WV, CCN 517051
  • Pocahontas Memorial Hospital Hospital, Buckeye, WV, CCN 511314
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120525WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Memorial Hospital Current Accepting new patients
Pocahontas Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients

Locations

150 Duncan Rd
Buckeye, WV 24924
Phone (304) 799-7400

Interoperability endpoints

  • Direct secure messaging: mnelson@yourcarecommunity.org

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 3

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1649009184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DUNCAN RD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DUNCAN RD",
            "city": "BUCKEYE",
            "state": "WV",
            "postal_code": "249249037",
            "telephone_number": "304-799-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "120525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "JEROME",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buckeye, WV

Sources for this page

Verify at the official NPI Registry.