Individual provider Active NPI

Thomas William Ansell, FNP

  • Family Nurse Practitioner
  • Davis, WV
National Provider Identifier
1871231902
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114384 Issued in WV
Practice address
180 E Portal Road
Davis, WV 26260
Phone
(304) 259-4970
Fax
(681) 478-1170
NPI assigned
May 27, 2022
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114384 WV Primary
Family Nurse Practitioner 363LF0000X SP025795 PA
Registered Nurse 163W00000X 532231 PA

Addresses

Primary practice location

180 E Portal Road
Davis, WV 26260

Mailing address

200 Cliff Mine Road
Suite 500
Pittsburgh, PA 15275
Phone (878) 201-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221227001485 WV Practitioner - Nurse Practitioner 6204206790 Reassigns benefits to 3 organizations
I20231219001343 PA Practitioner - Nurse Practitioner 6204206790 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
532231PAMDRegistered Nurse
SP025795PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Community Health Center, Inc. CurrentSince Jun 29, 2025 Accepting new patients
Matrix Medical Plus CurrentSince Mar 1, 2024 Accepting new patients
Twa Health Services LLC Family Current Accepting new patients
Personal Care Medical Associates LLC CurrentSince Nov 8, 2023 Accepting new patients
Matrix Medical Network of West CurrentSince Mar 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

209 Washington St W
Charleston, WV 25302
Phone 24852821166

783 Winchester St
Paw Paw, WV 25434
Phone (304) 947-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11497/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tansell356879@direct.wvuhsdirect.com

Organizations & group practices 5

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1871231902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLIFF MINE ROAD",
            "address_2": "SUITE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15275",
            "telephone_number": "878-201-3312",
            "fax_number": "878-201-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E PORTAL ROAD",
            "city": "DAVIS",
            "state": "WV",
            "postal_code": "26260",
            "telephone_number": "304-259-4970",
            "fax_number": "681-478-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELL",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-27",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "114384",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025795",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "532231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, WV

Sources for this page

Verify at the official NPI Registry.