Individual provider Active NPI

Dana R Cruse, CFNP, BC-ADM

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1932482874
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
48061 Issued in WV
Practice address
1900 Garfield Ave Ste a
Parkersburg, WV 26101-2565
Phone
(877) 377-8427
Fax
(304) 699-0396
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 48061 WV Primary

Addresses

Primary practice location

1900 Garfield Ave Ste a
Parkersburg, WV 26101-2565

Mailing address

1900 Garfield Ave Ste a
Parkersburg, WV 26101-2565
Phone (877) 377-8427

Other identifiers 2

IdentifierTypeStateIssuer
0099586MedicaidOH
3810026759MedicaidWV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140213000885 WV Practitioner - Nurse Practitioner 9032348131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain State Diabetes PLLCGroup PAC ID 4183053150, 3 clinicians

Practice addresses (Care Compare)

1900 Garfield Ave
Suite a
Parkersburg, WV 26101-2565
Phone (877) 377-8427

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Diabetes PLLC CurrentSince Feb 14, 2020 Accepting new patients
Riverview Primary Care PastSince Feb 14, 2020 Accepting new patients

Locations

1900 Garfield Ave
Ste A
Parkersburg, WV 26101
Phone (304) 916-1720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCCBD

Organizations & group practices 2

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 3

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1932482874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GARFIELD AVE STE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012565",
            "telephone_number": "877-377-8427",
            "fax_number": "304-699-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GARFIELD AVE STE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012565",
            "telephone_number": "877-377-8427",
            "fax_number": "304-699-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "DANA",
        "middle_name": "R",
        "credential": "CFNP, BC-ADM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "48061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099586",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026759",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.