Individual provider Active NPI

Stacey Ball, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1982148813
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
81841 Issued in WV
Practice address
5098 Washington St W Ste 407
Charleston, WV 25313-1561
Phone
(860) 788-6404
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 81841 WV Primary

Addresses

Primary practice location

5098 Washington St W Ste 407
Charleston, WV 25313-1561

Mailing address

5098 Washington St W Ste 407
Charleston, WV 25313-1561

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
I20170117001206 WV Practitioner - Nurse Practitioner 4385813872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of West Virginia PLLCGroup PAC ID 5496018509, 18 clinicians

Practice addresses (Care Compare)

100 Hillcrest Dr
Williamson, WV 25661-3948
Phone (832) 742-0117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81841WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of West Virginia PLLC Psychiatric/Mental Health CurrentSince Jan 25, 2026 Accepting new patients
Valley Comprehensive Community Mental Health Center Past Accepting new patients

Locations

5098 Washington St W
Ste 407
Charleston, WV 25313

100 Hillcrest Dr
Williamson, WV 25661
Phone (304) 235-2005

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1982148813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5098 WASHINGTON ST W STE 407",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253131561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5098 WASHINGTON ST W STE 407",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253131561",
            "telephone_number": "860-788-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "STACEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "81841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.