Individual provider Active NPI

Stephanie Jean Fluharty, FNP

  • Family Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1861915019
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89015 Issued in WV
Practice address
1511 Johnson Ave Ste 104
Bridgeport, WV 26330-1016
Phone
(681) 342-3700
Fax
(304) 848-0705
NPI assigned
Jul 19, 2017
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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 89015 WV Primary

Addresses

Primary practice location

1511 Johnson Ave Ste 104
Bridgeport, WV 26330-1016

Mailing address

PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009

Other names 1

  • Ms. Stephanie Jean Hinkle Former name

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
I20171102000284 WV Practitioner - Nurse Practitioner 1355607672 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89015WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc CurrentSince Jul 1, 2021 Accepting new patients
United Physicians Care Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

1511 Johnson Ave
Ste 104
Bridgeport, WV 26330
Phone (304) 848-0702

900 Lodgeville Rd
Bridgeport, WV 26330
Phone (304) 842-3311

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

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, 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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1861915019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070763",
            "telephone_number": "800-541-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JOHNSON AVE STE 104",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301016",
            "telephone_number": "681-342-3700",
            "fax_number": "304-848-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUHARTY",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "89015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HINKLE",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.