Individual provider Active NPI

Catherine A Church, NP

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1649466616
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41540 Issued in WV
Practice address
600 18TH St
Suite 404
Parkersburg, WV 26101-3231
Phone
(304) 424-4650
Fax
(304) 424-4681
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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 41540 WV Primary

Addresses

Primary practice location

600 18TH St
Suite 404
Parkersburg, WV 26101-3231

Mailing address

600 18TH St
Suite 404
Parkersburg, WV 26101-3231
Phone (304) 424-4650

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
I20071120000432 WV Practitioner - Nurse Practitioner 8628166998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1901 Ann St
Parkersburg, WV 26101-2504
Phone (304) 422-2400

1907 Ann St
Parkersburg, WV 26101-2504
Phone (304) 424-4205

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Medicine and Pediatrics Inc. Family CurrentSince Sep 5, 2007 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Nov 5, 2018 Accepting new patients
Mid Ohio Valley Medicine & Pediatrics PLLC PastSince Jul 26, 2010 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

1907 Ann St
Parkersburg, WV 26101
Phone (304) 424-4205

2012 Garfield Ave
#B
Parkersburg, WV 26101
Phone (304) 893-9090

2012 Garfield Ave
Ste 2
Parkersburg, WV 26101
Phone (304) 424-4650

600 18th St
Ste 404
Parkersburg, WV 26101
Phone (304) 424-4650

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1649466616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 404",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4650",
            "fax_number": "304-424-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 404",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4650",
            "fax_number": "304-424-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "41540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.