Individual provider Active NPI

Kaitlyn Caron, MSN, FNP-BC

  • Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1699389759
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN107400 Issued in WV
Practice address
1832 Harper Rd
Beckley, WV 25801-3366
Phone
(681) 207-7130
Fax
(681) 207-7132
NPI assigned
Sep 4, 2020
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN107400 WV Primary

Addresses

Primary practice location

1832 Harper Rd
Beckley, WV 25801-3366

Mailing address

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7130

Other identifiers 1

IdentifierTypeStateIssuer
APRN107400OtherWVWV BOARD OF REGISTERED NURSES FNP LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aganesh@BCP-wv.direct.office.nextgen.com Direct Beckley Cardiology, PLLC

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
I20201005000732 WV Practitioner - Nurse Practitioner 2163841537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckley Cardiology, PLLCGroup PAC ID 4587979638, 5 clinicians

Practice addresses (Care Compare)

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Cardiology, PLLC CurrentSince Sep 14, 2020 Accepting new patients

Locations

1832 Harper Rd
Beckley, WV 25801
Phone (681) 207-7129

Interoperability endpoints

  • Direct secure messaging: aganesh@bcp-wv.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kaitlyn.caron@wvafn.hcadirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1699389759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "KAITLYN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN107400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF REGISTERED NURSES FNP LICENSE NUMBER",
            "identifier": "APRN107400",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aganesh@BCP-wv.direct.office.nextgen.com",
            "affiliation": "Y",
            "endpointDescription": "direct message through patient portal",
            "affiliationName": "Beckley Cardiology, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1832 Harper Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.