Individual provider Active NPI

Cheyenne N Parker, FNP

  • Family Nurse Practitioner
  • Summersville, WV
National Provider Identifier
1851133482
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110527 Issued in WV
Practice address
400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone
(814) 619-9831
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 110527 WV Primary

Addresses

Primary practice location

400 Fairview Heights Rd
Summersville, WV 26651-9308

Mailing address

PO Box 342
Mount Lookout, WV 26678-0342
Phone (814) 619-9831

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
I20240919000492 WV Practitioner - Nurse Practitioner 7719428630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

315 Fairview Heights Rd
Summersville, WV 26651-1086
Phone (304) 469-2905

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110527WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Jul 19, 2024 Accepting new patients
New River Health Association, Inc. CurrentSince Jul 19, 2024 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Sep 6, 2024 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
New River Health Association, Inc. CurrentSince Jul 19, 2024 Accepting new patients
New River Health Association, Inc. CurrentSince Jul 19, 2024 Accepting new patients
New River Health Association, Inc. Current Accepting new patients

Locations

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

315 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 647-3500

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

30 Grizzley Ln
Summersville, WV 26651
Phone (304) 574-2905

Interoperability endpoints

  • Direct secure messaging: cheyenne.parker.1@16450.direct.athenahealth.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1851133482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "MOUNT LOOKOUT",
            "state": "WV",
            "postal_code": "266780342",
            "telephone_number": "814-619-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "814-619-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CHEYENNE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "110527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.