NPIMap

Individual provider Active NPI

Tesla Hampton, FNP-BC

  • Family Nurse Practitioner
  • Bellaire, OH
National Provider Identifier
1942764147
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024110 Issued in OH
Practice address
3000 Guernsey St
Bellaire, OH 43906-1540
Phone
(304) 633-4765
Fax
(740) 633-6450
NPI assigned
Jan 22, 2019
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN87358 WV
Family Nurse Practitioner 363LF0000X APRN.CNP.024110 OH Primary

Addresses

Primary practice location

3000 Guernsey St
Bellaire, OH 43906-1540

Mailing address

PO Box 6826
Wheeling, WV 26003-0921
Phone (304) 242-7106

Other names 1

  • Tesla Kinemond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190321002202 WV Practitioner - Nurse Practitioner 3971843376 Reassigns benefits to 2 organizations
I20190408002952 OH Practitioner - Nurse Practitioner 3971843376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Shats MDGroup PAC ID 1254874647, 2 clinicians
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

68377 Stewart Dr
Suite 202
Saint Clairsville, OH 43950-1718
Phone (740) 968-7147

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Shats, M.D. CurrentSince Sep 1, 2024 Accepting new patients
West Virginia Gastroenterology & Endoscopy PastSince Oct 28, 2017 Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients
Cleveland Prime Care Belmont LLC Past Accepting new patients

Locations

3000 Guernsey St
Bellaire, OH 43906
Phone (740) 676-4623

68377 Stewart Dr
Ste 202
St Clairsvle, OH 43950
Phone (740) 699-2747

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

109 Mount Wood Rd
#1
Wheeling, WV 26003

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1942764147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6826",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030921",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GUERNSEY ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061540",
            "telephone_number": "304-633-4765",
            "fax_number": "740-633-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "TESLA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN87358",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESLA",
            "last_name": "KINEMOND",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellaire, OH

Sources for this page

Verify at the official NPI Registry.