Individual provider Active NPI

Whitney O'Brien, MSN, FNP-BC

  • Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1962953190
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78301 Issued in WV
Practice address
20 Copperhead Dr
Wheeling, WV 26003-9498
Phone
(304) 771-2768
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78301 WV Primary

Addresses

Primary practice location

20 Copperhead Dr
Wheeling, WV 26003-9498

Mailing address

20 Copperhead Dr
Wheeling, WV 26003-9498
Phone (304) 771-2768

Other names 1

  • Whitney Duke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wobrien267236@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20170516001413 WV Practitioner - Nurse Practitioner 5496032781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

215 Lafayette Ave
Moundsville, WV 26041-1032
Phone (304) 843-3435

Hospital & facility affiliations

  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine LLC CurrentSince Mar 23, 2017 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

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

215 Lafayette Ave
Moundsville, WV 26041
Phone (304) 234-3405

2108 Lumber Ave
Ste 6
Wheeling, WV 26003
Phone (304) 780-6958

210 Fairmont Pike Rd
Wheeling, WV 26003
Phone (304) 221-3020

Interoperability endpoints

  • Direct secure messaging: wobrien267236@direct.wvuhsdirect.com

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 2

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1962953190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COPPERHEAD DR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260039498",
            "telephone_number": "304-771-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COPPERHEAD DR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260039498",
            "telephone_number": "304-771-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "WHITNEY",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "78301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wobrien267236@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 Fairmont Pike Rd",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260031574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "DUKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.