Individual provider Active NPI

Madison Aryn Valladares, FNP-BC

  • Family Nurse Practitioner
  • Rainelle, WV
National Provider Identifier
1891628038
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106102 Issued in WV
Practice address
176 Medical Center Dr
Rainelle, WV 25962-1064
Phone
(304) 438-6188
NPI assigned
Jun 6, 2026
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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 106102 WV Primary

Addresses

Primary practice location

176 Medical Center Dr
Rainelle, WV 25962-1064

Mailing address

563 Montague Dr
White Sulphur Springs, WV 24986-7028
Phone (304) 661-4174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106102WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center Inc CurrentSince Jul 18, 2026 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Jul 18, 2026 Accepting new patients
Rainelle Medical Center, Inc. PastSince Jul 18, 2026 Accepting new patients

Locations

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

458 Greenbrier St
Rupert, WV 25984
Phone (304) 632-6602

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1780704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1891628038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 MONTAGUE DR",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249867028",
            "telephone_number": "304-661-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "MADISON",
        "middle_name": "ARYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-06",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainelle, WV

Sources for this page

Verify at the official NPI Registry.