Active NPI
Nancy Jean Wolverton, ARNP
- Nurse Practitioner
- Bluefield, WV
National Provider Identifier
1710971213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN1502412
- Practice address
- 1333 Southview Dr
Bluefield, WV 24701-4317 - Phone
- (304) 327-9205
- Fax
- (304) 327-9210
- NPI assigned
- Sep 12, 2005
- 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 | RN1502412 | FL | Primary |
Addresses
Primary practice location
1333 Southview Dr
Bluefield, WV 24701-4317
Mailing address
118 12TH Street
Princeton, WV 24740-2352
Phone (304) 431-5153
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305483700 | Medicaid | FL | |
| Y022R | Other | FL | BLUE SHIELD PROV # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1502412 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hector Corzo MD PA | Nurse Practitioner | Past | Accepting new patients |
| Physician Providers Group PA | Past | Accepting new patients | |
| Robert Ulseth LLC | Past | Accepting new patients |
Organizations & group practices 3
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": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1710971213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 12TH STREET",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402352",
"telephone_number": "304-431-5153",
"fax_number": "304-487-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 SOUTHVIEW DR",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014317",
"telephone_number": "304-327-9205",
"fax_number": "304-327-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLVERTON",
"first_name": "NANCY",
"middle_name": "JEAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "RN1502412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305483700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROV #",
"identifier": "Y022R",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.