Andrew Brown, FNP-C
Individual provider Active NPI Nurse Practitioner · Beckley, WV
NPI 1770043572 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1770043572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN57484NP (WV)
- Practice address
- 200 Veterans Ave
Beckley, WV 25801-6444 - Phone
- (304) 255-2121
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tug River Health Association, Inc
Practice addresses (Care Compare)
200 12TH St Ext
Princeton, WV 24740-2329
Phone (304) 431-1400
512 Mountaineer Hwy
RM 1344
Bradshaw, WV 24817
Phone (304) 967-7682
Hospital & facility affiliations
- Welch Community Hospital
- Princeton Community Hospital Assn Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223002562 | WV | Practitioner - Nurse Practitioner | 3072040518 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN57484NP | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tug River Health Association, Inc | Current |
Accepting new patients | |
| Tug River Health Association, Inc. | Current |
Accepting new patients | |
| Tug River Health Association, Inc | Current |
Accepting new patients | |
| Tug River Health Association, Inc | Current |
Accepting new patients | |
| Tug River Health Association, Inc | Past | Accepting new patients |
Locations
200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541
1880 Mount View Rd
Ste 500
Welch, WV 24801
Phone (304) 436-4798
Interoperability endpoints
- andrew.brown.1@18068.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN57484NP | WV | Yes |
Addresses
Primary practice location
200 Veterans Ave
Beckley, WV 25801-6444
Mailing address
200 Veterans Ave
Beckley, WV 25801-6444
Phone (304) 255-2121
Other providers in Beckley, WV
- Kimberly Brooks
- Saundra Brooks
- Shannon Brooks
- Stephan Brooks
- Tracy Brooks
- Anthony Brown
- Autumn Dawn Brown
- Brooklynn Brown
- Clayton Brown
- Darla Maye Brown
All providers in Beckley, WV · Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.