Individual provider Active NPI

Richard Smith, APRN

  • Family Nurse Practitioner
  • Ravenwood, WV
National Provider Identifier
1861054330
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025043 Issued in OH
Practice address
JGH - Ravenswood Clinic 504 Washington St
Ravenwood, WV 26164-1732
Phone
(304) 373-1476
Fax
(304) 373-1479
NPI assigned
Jul 3, 2019
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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 APRN.CNP.025043 OH Primary

Addresses

Primary practice location

JGH - Ravenswood Clinic 504 Washington St
Ravenwood, WV 26164-1732

Mailing address

1570 Stanleyville Rd
Whipple, OH 45788-5060

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
I20200123001139 WV Practitioner - Nurse Practitioner 6002144573 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AssociationGroup PAC ID 1759291313, shared by 3 NPIs, 69 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

122 Pinnell St
Ripley, WV 25271-9101

146 Pinnell St
Ripley, WV 25271-9101

158 Pinnell St
Ripley, WV 25271-9101
Phone (304) 373-1630

186 Pinnell St
Ripley, WV 25271-9101
Phone (304) 373-1546

200 Academy Dr
Ripley, WV 25271-1157
Phone (304) 372-1050

4 Rosemar Cir
Parkersburg, WV 26104-1219
Phone (304) 865-5544

504 Washington St
Ravenswood, WV 26164-1732
Phone (304) 373-1476

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344846NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Jul 1, 2025 Accepting new patients
Valeo Medical, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Community Health Association CurrentSince Jul 1, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Nov 4, 2025 Accepting new patients
Community Health Association PastSince Jul 1, 2025 Accepting new patients
Community Health Association Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949

1824 Murdoch Ave
Bldg C
Parkersburg, WV 26101
Phone (304) 885-7152

4 Rosemar Cir
Parkersburg, WV 26104
Phone (304) 485-6130

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

504 Washington St
Ravenswood, WV 26164
Phone (304) 373-1476

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

146 Pinnell St
Ste B
Ripley, WV 25271
Phone (304) 373-1521

200 Academy Dr
Ripley, WV 25271
Phone (304) 372-1050

1006 2nd St
Saint Marys, WV 26170
Phone (304) 865-5760

1100 9th St
Ste E
Vienna, WV 26105

Organizations & group practices 8

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 4

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1861054330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 STANLEYVILLE RD",
            "city": "WHIPPLE",
            "state": "OH",
            "postal_code": "457885060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JGH - RAVENSWOOD CLINIC 504 WASHINGTON ST",
            "city": "RAVENWOOD",
            "state": "WV",
            "postal_code": "261641732",
            "telephone_number": "304-373-1476",
            "fax_number": "304-373-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.