Active NPI
Patricia Krauskopf, CFNP
- Nurse Practitioner
- Moorefield, WV
National Provider Identifier
1699744284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 30453
- Practice address
- 112 Kuykendall LN
Moorefield, WV 26836-1167 - Phone
- (304) 530-7755
- Fax
- (304) 530-7756
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 30453 | WV | Primary |
Addresses
Primary practice location
112 Kuykendall LN
Moorefield, WV 26836-1167
Mailing address
112 Kuykendall LN
Moorefield, WV 26836-1167
Phone (304) 530-7755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363L00000X | Other | WV | TAXONOMY CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30453 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Network of West | Nurse Practitioner | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
209 Washington St W
Charleston, WV 25302
Phone 24852821166
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Scottsdale, AZ
- NPI 1942569033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699744284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 KUYKENDALL LN",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361167",
"telephone_number": "304-530-7755",
"fax_number": "304-530-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 KUYKENDALL LN",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361167",
"telephone_number": "304-530-7755",
"fax_number": "304-530-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSKOPF",
"first_name": "PATRICIA",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "30453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY CODE",
"identifier": "363L00000X",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.