Active NPI
Emily Anderson
- Family Nurse Practitioner
- Elkins, WV
National Provider Identifier
1861323743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 109333
- Practice address
- 801 Gorman Ave
Elkins, WV 26241-3147 - Phone
- (304) 637-4509
- NPI assigned
- May 28, 2026
- Last updated
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 109333 | WV | Primary |
Addresses
Primary practice location
801 Gorman Ave
Elkins, WV 26241-3147
Mailing address
801 Gorman Ave
Elkins, WV 26241-3147
Phone (304) 637-4509
Other practice location 1
11 N Locust St
Buckhannon, WV 26201-4707
Phone (304) 472-1600
Other practice location 2
812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 637-4509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1861323743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 GORMAN AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413147",
"telephone_number": "304-637-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 GORMAN AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413147",
"telephone_number": "304-637-4509"
}
],
"practiceLocations": [
{
"address_1": "11 N Locust St",
"address_purpose": "LOCATION",
"city": "Buckhannon",
"state": "WV",
"postal_code": "262014707",
"country_code": "US",
"telephone_number": "304-472-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "812 Gorman Ave",
"address_purpose": "LOCATION",
"city": "Elkins",
"state": "WV",
"postal_code": "262413181",
"country_code": "US",
"telephone_number": "304-637-4509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "109333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.