Chad Ross Marsh, CFNP
Individual provider Active NPI Family Nurse Practitioner · Fairmont, WV
NPI 1891065207 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1891065207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 66726 (WV)
- Practice address
- 177 Middletown Rd
Ste 1
Fairmont, WV 26554-8254 - Phone
- (304) 363-6600
- NPI assigned
- Jan 3, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- United Physicians Care Inc
Practice addresses (Care Compare)
177 Middletown Rd
Suite 1
Fairmont, WV 26554-8254
Phone (681) 342-3500
2373 W Main St
Suite 102
Salem, WV 26426-7515
Phone (304) 782-2000
Hospital & facility affiliations
- United Hospital Center, Inc
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120203000545 | WV | Practitioner - Nurse Practitioner | 3072770957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Current |
Accepting new patients | |
| United Physicians Care Inc | Current |
Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
1370 Johnson Ave
Ste 102
Bridgeport, WV 26330
Phone (681) 342-3452
626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401
401 N Pike St
Grafton, WV 26354
Phone (304) 265-1350
2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000
177 Middletown Rd
Ste 1
White Hall, WV 26554
Phone (304) 363-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 66726 | WV | Yes |
Addresses
Primary practice location
177 Middletown Rd
Ste 1
Fairmont, WV 26554-8254
Mailing address
PO Box 763
Morgantown, WV 26507-0763
Other providers in Fairmont, WV
- Kendra Dawn Markley
- Vanessa Maria Markley
- Christine Marks
- Merry Marks
- John Maroulis
- Renee Marsh
- Brenda Kay Martin
- Crystal Martin
- Kimberly Kay Martin
- Lawanda Lynn Martin
All providers in Fairmont, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.