Individual provider Active NPI

Yosely Kathy Cruz-Fernandez, ACNP, PMHNP

  • Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1942573522
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN88151 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3397
Phone
(559) 260-7911
NPI assigned
Feb 13, 2012
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704232812 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN88151 WV
Nurse Practitioner 363L00000X APRN88151 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3397

Mailing address

1157 Dry Hill Rd
Beckley, WV 25801-2109
Phone (559) 260-7911

Other practice location 1

1157 Dry Hill Rd
Beckley, WV 25801-2109
Phone (559) 260-7911

Other practice location 2

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 465-3561

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
I20221017001741 WV Practitioner - Nurse Practitioner 5890929145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians
Life Strategies Counseling Services IncGroup PAC ID 6002819687, 10 clinicians

Practice addresses (Care Compare)

100 Heartland Dr
Beckley, WV 25801-2655
Phone (513) 489-7100

100 Hresan Blvd
Fayetteville, WV 25840-1333
Phone (304) 574-0770

183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (513) 489-7100

25 Mallard CT
Beckley, WV 25801-3664
Phone (304) 255-7526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN88151WVMDNurse Practitioner
4704232812MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strategies Counseling Services Inc. CurrentSince Aug 4, 2022 Accepting new patients

Locations

25 Mallard Ct
Beckley, WV 25801
Phone (304) 255-2527

3508 Staunton Ave SE
Charleston, WV 25304
Phone (304) 925-4086

1607 W Main St
Princeton, WV 24740
Phone (304) 255-7526

Interoperability endpoints

  • Direct secure messaging: yosely.cruz-fernandez@wvafn.hcadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1942573522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 DRY HILL RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012109",
            "telephone_number": "559-260-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013397",
            "telephone_number": "559-260-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 Dry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012109",
            "country_code": "US",
            "telephone_number": "559-260-7911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-465-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ-FERNANDEZ",
        "first_name": "YOSELY",
        "middle_name": "KATHY",
        "credential": "ACNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704232812",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN88151",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN88151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.