Individual provider Active NPI

Amy R Rollins, FNP

  • Family Nurse Practitioner
  • Belington, WV
National Provider Identifier
1750807939
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN77075-NP-C Issued in WV
Practice address
342 Joseph Chapel Rd
Belington, WV 26250-4513
Phone
(304) 841-2440
NPI assigned
Aug 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN77075-NP-C WV Primary

Addresses

Primary practice location

342 Joseph Chapel Rd
Belington, WV 26250-4513

Mailing address

342 Joseph Chapel Rd
Belington, WV 26250-4513
Phone (304) 841-2440

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
I20230314002941 WV Practitioner - Nurse Practitioner 1951665884 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN77075-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belington Community Medical Services Association CurrentSince Nov 18, 2022 Accepting new patients
Belington Community Medical Services Association CurrentSince Nov 18, 2022 Accepting new patients
Belington Community Medical Services Association CurrentSince Apr 1, 2023 Accepting new patients
Belington Community Medical Services Association Inc Current Accepting new patients

Locations

70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800

116 McClellan Rd
Philippi, WV 26416
Phone (304) 457-2800

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71927

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, 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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750807939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 JOSEPH CHAPEL RD",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262504513",
            "telephone_number": "304-841-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 JOSEPH CHAPEL RD",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262504513",
            "telephone_number": "304-841-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN77075-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belington, WV

Sources for this page

Verify at the official NPI Registry.