Matya Drennen, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · West Milford, WV
NPI 1679901243 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1679901243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN78520-FNP-BC (WV)
- Practice address
- 597 Liberty St
West Milford, WV 26451-6801 - Phone
- (304) 745-4568
- Fax
- (304) 326-3700
- NPI assigned
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 49
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care of West Virginia, Inc.
Practice addresses (Care Compare)
597 Liberty St
West Milford, WV 26451-6801
Phone (304) 745-4568
Hospital & facility affiliations
- St Joseph'S Hospital of Buckhannon, Inc
- United Hospital Center, Inc
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 |
|---|---|---|---|---|
| I20160429001048 | WV | Practitioner - Nurse Practitioner | 3072812817 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN78520-FNP-BC | WV | MD | Family Nurse Practitioner |
Practice roles
Interoperability endpoints
- matya.drennen.1@4803.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN78520-FNP-BC | WV | Yes |
Addresses
Primary practice location
597 Liberty St
West Milford, WV 26451-6801
Mailing address
597 Liberty St
West Milford, WV 26451-6801
Phone (304) 745-4568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679901243 | Medicaid | WV |
Other providers in West Milford, WV
- Melinda Ann Barnett
- Robert William Benson
- Community Care of West Virginia, Inc.
- Community Care of West Virginia, Inc.
- Melissa S Dodrill
- Kelly W Dunavant
- Chris N Kennedy
- Jason S. Kidd
- Christy L Lucas
- Deana Mae Morrison Fernandez
All providers in West Milford, 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 24, 2022. 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.