Individual provider Active NPI

Susan Kay Smith, FNP-BC

  • Family Nurse Practitioner
  • Oak Hill, WV
National Provider Identifier
1992345235
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105143 Issued in WV
Practice address
430 Main St W
Oak Hill, WV 25901-3455
Phone
(304) 469-8600
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 105143 WV Primary

Addresses

Primary practice location

430 Main St W
Oak Hill, WV 25901-3455

Mailing address

119 Main St W Ste a
Oak Hill, WV 25901-2972
Phone (304) 465-0544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan.smith.1@1572.direct.athenahealth.com

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
I20220315000272 WV Practitioner - Nurse Practitioner 4688852015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prompt Care IncGroup PAC ID 2567693997, 8 clinicians

Practice addresses (Care Compare)

1468 Ritter Dr
Daniels, WV 25832-9356
Phone (304) 253-3860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105143WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Care, Inc. CurrentSince May 1, 2023 Accepting new patients
Peachtree Inpatient Consulting LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

1468 Ritter Dr
Daniels, WV 25832
Phone (304) 253-2860

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

Interoperability endpoints

  • Direct secure messaging: susan.smith.1@32403.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1992345235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST W STE A",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012972",
            "telephone_number": "304-465-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013455",
            "telephone_number": "304-469-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.smith.1@1572.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "430 Main St W",
            "city": "Oak Hill",
            "state": "WV",
            "country_code": "US",
            "postal_code": "259013455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.