Individual provider Active NPI

Cheryl Denise Kirk, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1972275485
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110820 Issued in WV
Practice address
5862 Legg Fork Road
Charleston, WV 25320
Phone
(304) 514-9873
NPI assigned
Oct 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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 110820 WV Primary

Addresses

Primary practice location

5862 Legg Fork Road
Charleston, WV 25320

Mailing address

5862 Legg Fork Road
Charleston, WV 25320
Phone (304) 514-9873

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
I20220802000437 WV Practitioner - Nurse Practitioner 2860874245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

500 Poplar St
Suite 304
South Charleston, WV 25309-1473
Phone (304) 767-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc Family CurrentSince Jan 6, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 5, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 5, 2022 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1220 Lee St E
Ste 208
Charleston, WV 25301
Phone (304) 388-7270

2930 Chesterfield Ave
Charleston, WV 25304
Phone (304) 343-9923

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

500 Poplar St
Ste 304
South Charleston, WV 25309
Phone (304) 767-7770

Organizations & group practices 4

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 1

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": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633219200000",
    "number": "1972275485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 LEGG FORK ROAD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25320",
            "telephone_number": "304-514-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862 LEGG FORK ROAD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25320",
            "telephone_number": "304-514-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "110820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.