Individual provider Active NPI

Deana Michelle McCarty, FNP-C

  • Nurse Practitioner
  • Bastian, VA
National Provider Identifier
1821541889
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN58862 Issued in WV
Practice address
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone
(276) 688-4331
Fax
(276) 688-4336
NPI assigned
Jul 26, 2016
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 58862 WV
Family Nurse Practitioner 363LF0000X 0024173776 VA
Nurse Practitioner 363L00000X APRN58862 WV Primary

Addresses

Primary practice location

12301 Grapefield Rd
Bastian, VA 24314-4547

Mailing address

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (276) 688-4331

Other practice location 1

8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500

Other practice location 2

78 Brookshire Ln
Beckley, WV 25801-6765
Phone (304) 255-2341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mountainstateent@allmedsccd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161205000535 VA Practitioner - Nurse Practitioner 6103114418 Reassigns benefits to 1 organization
I20191030003435 WV Practitioner - Nurse Practitioner 6103114418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bland County Medical Clinic IncGroup PAC ID 2264326453, shared by 2 NPIs, 20 clinicians

Practice addresses (Care Compare)

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173776VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bland County Medical Clinic, Inc. CurrentSince Sep 25, 2016 Accepting new patients
Bland County Medical Clinic, Inc. CurrentSince Sep 25, 2016 Accepting new patients
Mountain State ENT & Facial Plastic Surgery, Inc CurrentSince Aug 22, 2019 Accepting new patients

Locations

12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626

8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500

78 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-0330

84 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-2341

86 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-2341

Interoperability endpoints

  • Direct secure messaging: deana.mccarty@bcmc.eclinicaldirectplus.com
  • Direct secure messaging: mountainstateent@allmedsccd.com

Organizations & group practices 3

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.

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1821541889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8494 S Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Bland",
            "state": "VA",
            "postal_code": "243155255",
            "country_code": "US",
            "telephone_number": "276-688-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78 Brookshire Ln",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258016765",
            "country_code": "US",
            "telephone_number": "304-255-2341",
            "fax_number": "304-255-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "DEANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "58862",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173776",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN58862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mountainstateent@allmedsccd.com",
            "affiliation": "N",
            "address_1": "86 Brookshire Ln",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258016765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bastian, VA

Sources for this page

Verify at the official NPI Registry.