Deana Michelle McCarty, FNP-C
Individual provider Active NPI Nurse Practitioner · Bastian, VA
NPI 1821541889 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1821541889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN58862 (WV)
- Practice address
- 12301 Grapefield Rd
Bastian, VA 24314-4547 - Phone
- (276) 688-4331
- Fax
- (276) 688-4336
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316
Hospital & facility affiliations
- Princeton Community Hospital Assn Inc
- Wythe County Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, 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 |
|---|---|---|---|---|
| I20161205000535 | VA | Practitioner - Nurse Practitioner | 6103114418 | Reassigns benefits to 1 organization |
| I20191030003435 | WV | Practitioner - Nurse Practitioner | 6103114418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58862 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain State ENT & Facial Plastic Surgery, Inc | Current |
Accepting new patients | |
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients | |
| Bland County Medical Clinic, Inc. | Current |
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
- deana.mccarty@bcmc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 58862 | WV | |
| Family Nurse Practitioner | 363LF0000X | 0024173776 | VA | |
| Nurse Practitioner | 363L00000X | APRN58862 | WV | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mountainstateent@allmedsccd.com |
Other providers in Bastian, VA
- Courtney Heltzel
- Angela Nicole Hutchinson
- Lindsey Heldreth Kennedy
- London King
- Mary A Martin
- Tonya M. McFadden
- Phyllis Gayle Murray
- Lynn M. Patton
- Anna Lorie Pettrey
- RBM Opco of Bastian LLC
All providers in Bastian, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. 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.