Organization Active NPI

Next Generation Family Medicine PLLC

  • Family Nurse Practitioner
  • Elkins, WV
National Provider Identifier
1912660754
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NEXT GENERATION FAMILY MEDICINE PLLC
Practice address
29 Ash LN
Elkins, WV 26241-1112
Phone
(304) 614-9222
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Sherry Lynn Mitchell
Title
Office Manager
Phone
(304) 614-9222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

29 Ash LN
Elkins, WV 26241-1112

Mailing address

29 Ash LN
Elkins, WV 26241-1112
Phone (304) 637-6928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214001977 WV Part B Supplier - Clinic/Group Practice 3072903632 Receives reassigned benefits from 2 practitioners
Practice locations: Elkins, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2244939Next Generation Family Medicine PLLC29 Ash Lane, Elkins, WV 26241Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

29 Ash Ln
Elkins, WV 26241
Phone (304) 614-9222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25317/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1912660754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ASH LN",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411112",
            "telephone_number": "304-637-6928",
            "fax_number": "833-913-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ASH LN",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411112",
            "telephone_number": "304-614-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT GENERATION FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-614-9222"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.