Active NPI
Tracie M Metheny, CRNA
- Certified Registered Nurse Anesthetist
- Hurricane, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 63819
- Practice address
- 1400 Hospital Dr
Hurricane, WV 25526-9202 - Phone
- (304) 757-1700
- Fax
- (304) 757-1732
- NPI assigned
- Nov 27, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 63819 | WV | Primary |
Addresses
Primary practice location
1400 Hospital Dr
Hurricane, WV 25526-9202
Mailing address
PO Box 711841
Columbus, OH 43271-0001
Phone (304) 346-9400
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00461235 | Other | WV | RR MEDICARE |
| 002003247 | Other | WV | MSBCBS |
| 27005299703 | Other | WV | OHIO WORKERS COMP GROUP |
| 3810011018 | Medicaid | WV | |
| 001706470 | Other | WV | MSBCBS GROUP |
| 0207026000 | Medicaid | WV | |
| DA0096 | Other | WV | RR MEDICARE |
| 1072527 | Other | WV | BRICKSTREET |
| 27005299700 | Other | WV | BRICKSTREET GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500
1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 526-2000
Hospital & facility affiliations
- West Virginia University Hospitals, Inc
- Cabell Huntington Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Professional Anesthesia Service,Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Mid-Atlantic Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Anesthesiology Physician
- Hurricane, WV
- NPI 1144248907
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1922280411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711841",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432710001",
"telephone_number": "304-346-9400",
"fax_number": "304-345-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HOSPITAL DR",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269202",
"telephone_number": "304-757-1700",
"fax_number": "304-757-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METHENY",
"first_name": "TRACIE",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "63819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00461235",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "002003247",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO WORKERS COMP GROUP",
"identifier": "27005299703",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011018",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS GROUP",
"identifier": "001706470",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207026000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA0096",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET",
"identifier": "1072527",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET GROUP",
"identifier": "27005299700",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.