Individual provider Active NPI

Ashlee Michno

  • Nurse Practitioner
  • Fairmont, WV
National Provider Identifier
1801593942
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
106146 Issued in WV
Practice address
177 Middletown Rd
Fairmont, WV 26554-8254
Phone
(304) 363-6600
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 106146 WV Primary

Addresses

Primary practice location

177 Middletown Rd
Fairmont, WV 26554-8254

Mailing address

177 Middletown Rd
Fairmont, WV 26554-8254
Phone (304) 363-6600

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
I20230412003113 WV Practitioner - Nurse Practitioner 8426423096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

177 Middletown Rd
Suite 1
Fairmont, WV 26554-8254
Phone (681) 342-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106146WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Nurse Practitioner CurrentSince Mar 6, 2023 Accepting new patients
United Physicians Care Inc Nurse Practitioner CurrentSince Mar 6, 2023 Accepting new patients

Locations

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

177 Middletown Rd
Ste 1
White Hall, WV 26554
Phone (304) 363-6600

Interoperability endpoints

  • Direct secure messaging: aschumacher155783@direct.wvuhsdirect.com

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.

Hospital & facility affiliations 2

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1801593942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MIDDLETOWN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548254",
            "telephone_number": "304-363-6600",
            "fax_number": "304-333-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MIDDLETOWN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548254",
            "telephone_number": "304-363-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHNO",
        "first_name": "ASHLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "106146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.