NPIMap

Individual provider Active NPI

Nancy Beth Lares, MD

  • Hospitalist Physician
  • PT Pleasant, WV
National Provider Identifier
1841227790
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
22263 Issued in WV
Practice address
2414 Jefferson Ave
PT Pleasant, WV 25550-1528
Phone
(304) 675-1484
Fax
(304) 675-1489
NPI assigned
Jun 27, 2006
Last updated
May 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22263 WV
Hospitalist Physician 208M00000X 22263 WV Primary

Addresses

Primary practice location

2414 Jefferson Ave
PT Pleasant, WV 25550-1528

Mailing address

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 675-1484

Other identifiers 1

IdentifierTypeStateIssuer
550737600OtherWVTAX IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000337 WV Practitioner - HospitalistPractitioner - Family PracticePractitioner - Emergency Medicine 6709881329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Mar 1, 2014 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 1, 2014 Accepting new patients
Point Pleasant Physician Billing Services PastSince May 4, 2015 Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

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 11

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1841227790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOSPITAL DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269202",
            "telephone_number": "304-675-1484",
            "fax_number": "304-675-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-1484",
            "fax_number": "304-675-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARES",
        "first_name": "NANCY",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22263",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "22263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "550737600",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Pleasant, WV

Sources for this page

Verify at the official NPI Registry.