NPIMap

Individual provider Active NPI

Chassity Kirk, APRN-FNP-BC

  • Family Nurse Practitioner
  • Branchland, WV
National Provider Identifier
1871977140
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76003 Issued in WV
Practice address
5322 McClellan Hwy
Branchland, WV 25506-8725
Phone
(304) 824-5707
Fax
(304) 824-5706
NPI assigned
Jul 16, 2015
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 76003 WV Primary

Addresses

Primary practice location

5322 McClellan Hwy
Branchland, WV 25506-8725

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

Other identifiers 1

IdentifierTypeStateIssuer
3810029997MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123001963 WV Practitioner - Nurse Practitioner 1153621123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

7400 Lynn Ave
Hamlin, WV 25523-1138

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Jan 30, 2016 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc CurrentSince Sep 1, 2015 Accepting new patients
Lincoln County Primary Care Center, Inc PastSince Mar 12, 2023 Accepting new patients

Locations

5322 McClellan Hwy
Branchland, WV 25506
Phone (304) 824-5707

5304 Straight Frk
Griffithsville, WV 25521
Phone (304) 524-9241

7400 Lynn Ave
Hamlin, WV 25523

81 Lincoln Panther Way
Hamlin, WV 25523
Phone (304) 824-6090

1 Wildcat Way
Logan, WV 25601
Phone (304) 688-9949

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

1 Pioneer Path
Man, WV 25635
Phone (304) 583-7295

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

59 Vanatters Crk
Ranger, WV 25557
Phone (304) 778-3084

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

Interoperability endpoints

  • Direct secure messaging: chassity.kirk.1@6401.direct.athenahealth.com

Organizations & group practices 11

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 2

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1871977140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 MCCLELLAN HWY",
            "city": "BRANCHLAND",
            "state": "WV",
            "postal_code": "255068725",
            "telephone_number": "304-824-5707",
            "fax_number": "304-824-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "CHASSITY",
        "credential": "APRN-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "76003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029997",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchland, WV

Sources for this page

Verify at the official NPI Registry.