Individual provider Active NPI

Halie Brooke Swick, FNP

  • Family Nurse Practitioner
  • Petersburg, WV
National Provider Identifier
1679346274
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117117 Issued in WV
Practice address
117 Hospital Dr
Petersburg, WV 26847-9566
Phone
(304) 257-1026
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 117117 WV Primary

Addresses

Primary practice location

117 Hospital Dr
Petersburg, WV 26847-9566

Mailing address

PO Box 1262
Petersburg, WV 26847-1262
Phone (304) 851-9545

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
I20240114000187 WV Practitioner - Nurse Practitioner 2466804596 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant Memorial Hospital IncGroup PAC ID 4183082712, 38 clinicians

Practice addresses (Care Compare)

117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026

Hospital & facility affiliations

  • Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117117WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital Inc CurrentSince Jan 13, 2024 Accepting new patients
Smoky Mountain Emergency Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Jan 13, 2024 Accepting new patients
Health Care Alliance, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1679346274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1262",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471262",
            "telephone_number": "304-851-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOSPITAL DR",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479566",
            "telephone_number": "304-257-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWICK",
        "first_name": "HALIE",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "117117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.