Individual provider Active NPI

Frankie A. Puckett, M.D.

  • Family Medicine Physician
  • Webster Springs, WV
National Provider Identifier
1851489157
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22820 Issued in WV
Practice address
125 Diana Dr
Webster Springs, WV 26288-9078
Phone
(304) 847-5682
Fax
(304) 847-5985
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22820 WV
Family Medicine Physician 207Q00000X 22820 WV Primary

Addresses

Primary practice location

125 Diana Dr
Webster Springs, WV 26288-9078

Mailing address

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Other identifiers 1

IdentifierTypeStateIssuer
3810018033MedicaidWV

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000750 WV Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - General SurgeryPractitioner - Thoracic Surgery 8628135241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice, General Surgery
Education
JC Edwards School of Medicine, Marshall University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Memorial Hospital IncGroup PAC ID 6709275373, 9 clinicians

Practice addresses (Care Compare)

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Summersville, WV, CCN 517120
  • Webster Memorial Hospital Hospital, Webster Springs, WV, CCN 511301
  • Webster Memorial Hospital Nursing home, CCN 51Z301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22820WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Memorial Hospital, Inc. Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Webster County Memorial Hospital CurrentSince Nov 4, 2017 Accepting new patients

Locations

70 Technology Ln
Cowen, WV 26206
Phone (304) 226-3150

125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682

Interoperability endpoints

  • Direct secure messaging: frankiep@wcmhwv.securechart.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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1851489157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "FRANKIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "22820",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018033",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

Verify at the official NPI Registry.