NPIMap

Individual provider Active NPI

Alexis Kitzmiller

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1891474284
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117111 Issued in WV
Practice address
210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone
(304) 388-1930
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 117111 WV Primary

Addresses

Primary practice location

210 Brooks St Ste 200
Charleston, WV 25301-1848

Mailing address

300 Dutch Rd
Charleston, WV 25302-4426
Phone (304) 610-1704

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
I20231012001412 WV Practitioner - Nurse Practitioner 3971958844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

210 Brooks St
Suite 200
Charleston, WV 25301-1848
Phone (304) 388-1930

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117111WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Aug 29, 2023 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Aug 29, 2023 Accepting new patients
THS Physician Partners Inc Family CurrentSince Sep 15, 2025 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

210 Brooks St
Ste 200
Charleston, WV 25301
Phone (304) 388-1930

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1891474284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DUTCH RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024426",
            "telephone_number": "304-610-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011848",
            "telephone_number": "304-388-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZMILLER",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "117111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.