Individual provider Active NPI

Cami Maxwell, FNP-C

  • Family Nurse Practitioner
  • Hinton, WV
National Provider Identifier
1801330915
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN42292-NP-C Issued in WV
Practice address
198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone
(304) 466-0332
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 APRN42292-NP-C WV Primary

Addresses

Primary practice location

198 John Cook Nursing Home Rd
Hinton, WV 25951-5074

Mailing address

PO Box 280
Cabin Creek, WV 25035-0280
Phone (304) 344-1623

Other practice location 1

218 Undercliff Ter
Princeton, WV 24740-2176
Phone (304) 425-1453

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
I20170627000979 WV Practitioner - Nurse Practitioner 4880963313 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetree Medical Services LLCGroup PAC ID 8426314667, 5 clinicians

Practice addresses (Care Compare)

198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone (304) 466-0332

Hospital & facility affiliations

  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN42292-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince May 10, 2024 Accepting new patients
Lifetree Medical Services, LLC CurrentSince Jun 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 27, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 27, 2021 Accepting new patients
WV CHS Pharmacy Services, LLC PastSince Jun 25, 2023 Accepting new patients

Locations

100 Heartland Dr
Beckley, WV 25801
Phone (304) 256-1650

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

198 John Cook Nursing Home Rd
Hinton, WV 25951
Phone (304) 466-0332

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

218 Undercliff Ter
Princeton, WV 24740
Phone (304) 327-1890

859 Days Dr
Sutton, WV 26601
Phone (304) 765-2861

Organizations & group practices 6

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": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1801330915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "CABIN CREEK",
            "state": "WV",
            "postal_code": "250350280",
            "telephone_number": "304-344-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 JOHN COOK NURSING HOME RD",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259515074",
            "telephone_number": "304-466-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Undercliff Ter",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402176",
            "country_code": "US",
            "telephone_number": "304-425-1453",
            "fax_number": "304-425-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "CAMI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN42292-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

Sources for this page

Verify at the official NPI Registry.