Kristen Decarlo, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN74352NP Issued in WV

Practice address

4935 Stone Church Rd
Dallas, WV 26036-1131

Phone

(304) 547-5566

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reynolds Memorial Hospital, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Glen Dale, WV
  • NPI 1518068014
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Wvu Med Corp Cheat Lake Physicians

  • Clinical Medical Laboratory
  • Morgantown, WV
  • NPI 1568661148
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Wetzel County Hospital, Inc.

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation
• Barnesville Hospital Association, Inc.

  • Critical Access Hospital
  • Barnesville, OH
  • NPI 1235135450
  Care Compare affiliation

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1881004323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 STONE CHURCH RD",
            "city": "DALLAS",
            "state": "WV",
            "postal_code": "260361131",
            "telephone_number": "304-547-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 STONE CHURCH RD",
            "city": "DALLAS",
            "state": "WV",
            "postal_code": "260361131",
            "telephone_number": "304-547-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "KRISTEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN74352NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas VFD Inc
• Callie Earliwine

• Nurse Practitioner in Dallas, WV
• Providers in Dallas, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.