Kelsie Fubio, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

107193 Issued in WV

Practice address

6000 Memorial Church Dr
Morgantown, WV 26501-1503

Phone

(304) 292-7316

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Monongalia County General Hospital Company

  • Specialist
  • Morgantown, WV
  • NPI 1447673223
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monongalia County General Hospital Company

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1922843440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DR",
            "city": "WESTOVER",
            "state": "WV",
            "postal_code": "265011503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265011503",
            "telephone_number": "304-292-7316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051143",
            "country_code": "US",
            "telephone_number": "304-599-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Fort Pierpont Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081381",
            "country_code": "US",
            "telephone_number": "304-241-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUBIO",
        "first_name": "KELSIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "107193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Frye, MD
• Camille Marie Frye, PLPC
• Crystal M Frye, DPT
• Justin Frye
• Marie M Frye, RN
• Paul Martin Fudacz Jr., DO
• Stacey L Fugate
• Marie Fuhriman
• Gianne Tresa Fujimoto
• Amanda Fuller, APRN

• Family Nurse Practitioner in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.