Brooke McCoy, MSN, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Dawes, WV
NPI 1679465256 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1679465256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 106686 (WV)
- Practice address
- 5722 Cabin Creek Rd
Dawes, WV 25054-7700 - Phone
- (304) 595-5006
- Fax
- (304) 595-5007
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cabin Creek Health Center Inc
Practice addresses (Care Compare)
107 Koontz Ave
Suite 200
Clendenin, WV 25045-9581
Phone (304) 548-7272
Hospital & facility affiliations
- Charleston Area Medical Center
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 |
|---|---|---|---|---|
| I20250915000250 | WV | Practitioner - Nurse Practitioner | 0648773663 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106686 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabin Creek Health Center, Inc. | Current |
Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current |
Accepting new patients |
Locations
104 Alex Ln
Charleston, WV 25304
Phone 30473420401319
107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272
Interoperability endpoints
- brooke.mccoy.1@7267.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 106686 | WV | Yes |
Addresses
Primary practice location
5722 Cabin Creek Rd
Dawes, WV 25054-7700
Mailing address
104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040
Other providers in Dawes, WV
- Byron Menking Hoggatt
- Tiffany Hughes
- Kelli Jo Hupp
- Charles H.M. Jacques
- Stephanie Marie Lusk
- Hannah McDermitt
- Jacob Mills
- Mountaineer Accountable Care
- Megan Olish-Terry
- Dannel Karl Petgrave
All providers in Dawes, 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 Aug 4, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.