Individual provider Active NPI

Brittany Nicole Cross, P.A.C.

  • Physician Assistant
  • Weston, WV
National Provider Identifier
1780816769
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01417 Issued in WV
Practice address
936 Sharpe Hospital Rd
Weston, WV 26452-8550
Phone
(304) 269-1210
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01417 WV Primary

Addresses

Primary practice location

936 Sharpe Hospital Rd
Weston, WV 26452-8550

Mailing address

936 Sharpe Hospital Rd
Weston, WV 26452-8550
Phone (304) 269-1210

Other names 1

  • Brittany Nicole Horner Former name

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
I20090923000037 WV Practitioner - Physician Assistant 5092861625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William R Sharpe Jr HospitalGroup PAC ID 8224949383, 19 clinicians

Practice addresses (Care Compare)

936 Sharpe Hospital Rd
Weston, WV 26452-8550
Phone (304) 269-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William R Sharpe Jr Hospital CurrentSince Mar 31, 2013 Accepting new patients

Locations

936 Sharpe Hospital Rd
Weston, WV 26452
Phone (304) 269-1210

Organizations & group practices 2

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1780816769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SHARPE HOSPITAL RD",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528550",
            "telephone_number": "304-269-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SHARPE HOSPITAL RD",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528550",
            "telephone_number": "304-269-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HORNER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, WV

Sources for this page

Verify at the official NPI Registry.