Individual provider Active NPI

Debra L Fox

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1912520800
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105691 Issued in WV
Practice address
3420 Lazzelle Union Rd
Morgantown, WV 26501-2086
Phone
(304) 685-0398
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021993 PA
Family Nurse Practitioner 363LF0000X 105691 WV Primary

Addresses

Primary practice location

3420 Lazzelle Union Rd
Morgantown, WV 26501-2086

Mailing address

3420 Lazzelle Union Rd
Morgantown, WV 26501-2086
Phone (304) 685-0398

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dfox201551@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address dfox201551@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address dfox201551@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20201013000806 PA Practitioner - Nurse Practitioner 6709206782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

451 Murtha Dr
Waynesburg, PA 15370-7010
Phone (304) 947-3007

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021993PAMDFamily Nurse Practitioner
105691WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc Family CurrentSince Apr 14, 2023 Accepting new patients
Fayette Physician Network Inc CurrentSince Apr 14, 2023 Accepting new patients
Fayette Physician Network Inc Past Accepting new patients

Locations

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

451 Murtha Dr
Waynesburg, PA 15370
Phone (304) 598-4253

Interoperability endpoints

  • Direct secure messaging: dfox201551@direct.wvuhsdirect.com

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 8

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1912520800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 LAZZELLE UNION RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012086",
            "telephone_number": "304-685-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 LAZZELLE UNION RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012086",
            "telephone_number": "304-685-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DEBRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfox201551@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "451 Murtha Dr",
            "city": "Waynesburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153707010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfox201551@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "451 Murtha Dr",
            "city": "Waynesburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153707010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfox201551@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "451 Murtha Dr",
            "city": "Waynesburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153707010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.