Active NPI
Misty James, FNP
- Family Nurse Practitioner
- Camden on Gauley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 69991
- Practice address
- 10003 Webster Rd
Camden on Gauley, WV 26208-7713 - Phone
- (304) 226-5725
- NPI assigned
- Mar 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 69991 | WV | Primary |
Addresses
Primary practice location
10003 Webster Rd
Camden on Gauley, WV 26208-7713
Mailing address
10003 Webster Rd
Camden on Gauley, WV 26208-7713
Phone (304) 226-5725
Other practice location 1
71 Avenue A
Richwood, WV 26261-1204
Phone (304) 846-2608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891236873 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170707000274 | WV | Practitioner - Nurse Practitioner | 0941579940 | Reassigns benefits to 13 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Camden on Gauley Medical Center Inc
Practice addresses (Care Compare)
101 Florence St
Ansted, WV 25812-5200
Phone (304) 658-6007
110 Panther Creek Elementary Rd
Nettie, WV 26681-1200
Phone (304) 846-2542
16 W Main St
Richwood, WV 26261-1008
Phone (304) 846-2608
16414 Webster Rd
Craigsville, WV 26205-8512
Phone (304) 742-3004
190 Riverside Dr
Richwood, WV 26261-1251
Phone (304) 846-2588
215 Milam Addition Rd
Craigsville, WV 26205-8569
Phone (304) 226-5725
300 Minuteman Dr
Weston, WV 26452-2200
Phone (304) 997-8701
415 Main St
Summersville, WV 26651-1343
Phone (304) 872-1663
46 Red Oak Dr
Craigsville, WV 26205-3102
Phone (304) 742-5999
56 Park St
Cowen, WV 26206-3302
Phone (304) 226-5725
70 Grade School LN
Summersville, WV 26651-1897
Phone (304) 872-2178
71 Ave a
Richwood, WV 26261-1204
Phone (304) 846-2608
Hospital & facility affiliations
- Summersville Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations
101 Florence St
Ansted, WV 25812
Phone (304) 658-5100
10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725
56 Park St
Cowen, WV 26206
Phone (304) 226-5275
16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004
46 Red Oak Dr
Craigsville, WV 26205
Phone (304) 742-5737
100 School St
Craigsville, WV 26205
Phone (304) 742-1061
110 Panther Creek Elementary Rd
Nettie, WV 26681
Phone (304) 742-1061
71 Avenue A
Richwood, WV 26261
Phone (304) 846-2608
16 W Main St
Richwood, WV 26261
Phone (304) 846-0207
190 Riverside Dr
Rm 2109
Richwood, WV 26261
Phone (304) 846-2588
190 Riverside Dr
Richwood, WV 26261
Phone (304) 846-2588
70 Grade School Ln
Summersville, WV 26651
Phone 3042265725118
415 Main St
Summersville, WV 26651
Phone (304) 872-1663
1 Highlander Dr
Upperglade, WV 26266
Phone (304) 226-3993
300 Minuteman Dr
Weston, WV 26452
Phone (304) 997-8701
Organizations & group practices 25
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.
-
- Federally Qualified Health Center (FQHC)
- Nettie, WV
- NPI 1174065916
WV
-
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1215394648
WV
-
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1245938513
WV
-
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1427585157
WV
-
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1508372228
WV
-
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1558340414
WV
-
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1700312618
WV
-
- Federally Qualified Health Center (FQHC)
- Ansted, WV
- NPI 1801493499
WV
-
- Federally Qualified Health Center (FQHC)
- Weston, WV
- NPI 1861872541
WV
-
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1811420250
WV
-
- Federally Qualified Health Center (FQHC)
- Cowen, WV
- NPI 1639418361
WV
-
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1669947222
WV
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
Hospital
-
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1891236873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10003 WEBSTER RD",
"city": "CAMDEN ON GAULEY",
"state": "WV",
"postal_code": "262087713",
"telephone_number": "304-226-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10003 WEBSTER RD",
"city": "CAMDEN ON GAULEY",
"state": "WV",
"postal_code": "262087713",
"telephone_number": "304-226-5725"
}
],
"practiceLocations": [
{
"address_1": "71 Avenue A",
"address_purpose": "LOCATION",
"city": "Richwood",
"state": "WV",
"postal_code": "262611204",
"country_code": "US",
"telephone_number": "304-846-2608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "MISTY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "69991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891236873",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden on Gauley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.