Individual provider Active NPI

Devena Moore, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1861204844
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113142 Issued in WV
Practice address
1824 Murdoch Ave Ste A101
Parkersburg, WV 26101-3230
Phone
(304) 485-7374
NPI assigned
Jan 24, 2025
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 113142 WV Primary

Addresses

Primary practice location

1824 Murdoch Ave Ste A101
Parkersburg, WV 26101-3230

Mailing address

1824 Murdoch Ave Ste A101
Parkersburg, WV 26101-3230
Phone (304) 485-7374

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
I20251209001371 WV Practitioner - Nurse Practitioner 2769976653 Reassigns benefits to 1 organization

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
Mid-Ohio Valley Board of HealthGroup PAC ID 8921267709, 3 clinicians

Practice addresses (Care Compare)

1824 Murdoch Ave
Parkersburg, WV 26101-3230
Phone (304) 486-7374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113142WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Valley Board of Health CurrentSince Aug 29, 2025 Accepting new patients

Locations

300 Mill St
Grantsville, WV 26147

125 W Main St
Harrisville, WV 26362
Phone (304) 643-2917

1824 Murdoch Ave
Parkersburg, WV 26101
Phone (304) 424-4057

1824 Murdoch Ave
#A101
Parkersburg, WV 26101

1824 Murdoch Ave
Ste A101
Parkersburg, WV 26101
Phone (304) 485-7374

605 Cherry St
Saint Marys, WV 26170
Phone (304) 684-2461

200 E Main St
Spencer, WV 25276
Phone (304) 927-1480

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1861204844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE STE A101",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-485-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE STE A101",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-485-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEVENA",
        "credential": "APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.