Rachel Balcourt, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

114485 Issued in WV

Practice address

131 Wellness Dr
Summersville, WV 26651-5402

Phone

(888) 736-3229

Fax

(304) 872-1685

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seneca Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maxwelton, WV
  • NPI 1154532513
  Medicare reassignment NPD
• Seneca Health Services, Inc.

  • Family Medicine Physician
  • Maxwelton, WV
  • NPI 1235838954
  NPD
• Seneca Health Services Inc

  • Community/Behavioral Health Agency
  • Maxwelton, WV
  • NPI 1245441609
  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1972356913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "888-736-3229",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "888-736-3229",
            "fax_number": "304-872-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOURT",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "114485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Auxier, LPN
• Michael Anthony Avery
• Angela Dawn Bailes
• Tyler Alan Bailey, PHARMD
• Dakota Baker
• Susan P Baldwin
• Jessica Barkley
• Rachel Rena Barnhouse
• Carla Dawn Barr
• Rebecca Lynn Bates, BA

• Pediatric Nurse Practitioner in Summersville, WV
• Providers in Summersville, WV by specialty
• Pediatric Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.