Individual provider Active NPI

Sydney Dolly, FNP-C

  • Nurse Practitioner
  • Keyser, WV
National Provider Identifier
1740177336
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
107369 Issued in WV
Practice address
100 Pin Oak LN
Keyser, WV 26726-5908
Phone
(304) 597-3500
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 107369 WV Primary

Addresses

Primary practice location

100 Pin Oak LN
Keyser, WV 26726-5908

Mailing address

32 Sold Team Way
Ridgeley, WV 26753-5027
Phone (301) 876-0816

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
I20250912000442 WV Practitioner - Nurse Practitioner 7618470923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

Hospital & facility affiliations

  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc CurrentSince Aug 9, 2025 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Aug 9, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Potomac Valley Hospital of W VA, Inc Past Accepting new patients

Locations

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1740177336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOLD TEAM WAY",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267535027",
            "telephone_number": "301-876-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIN OAK LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265908",
            "telephone_number": "304-597-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLY",
        "first_name": "SYDNEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "107369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.