Individual provider Active NPI

Patricia Krauskopf, CFNP

  • Nurse Practitioner
  • Moorefield, WV
National Provider Identifier
1699744284
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30453 Issued in WV
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

Updated by the provider on Jul 13, 2026

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 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

IdentifierTypeStateIssuer
363L00000XOtherWVTAXONOMY 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30453WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Network of West Nurse Practitioner CurrentSince May 1, 2022 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.

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

Verify at the official NPI Registry.