NPIMap

Individual provider Active NPI

Lyndsie Rae Wriston, AGACNP-BC

  • Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1992429484
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114078 Issued in WV
Practice address
3100 Maccorkle Ave SE Ste 411
Charleston, WV 25304-1230
Phone
(304) 343-4400
Fax
(304) 345-5005
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 114078 WV Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste 411
Charleston, WV 25304-1230

Mailing address

15 Clearview LN
Wallback, WV 25285-9273
Phone (304) 880-6232

Other identifiers 1

IdentifierTypeStateIssuer
1992429484MedicaidWV

Other names 1

  • Lyndsie Rae Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000382 WV Practitioner - Nurse Practitioner 5597134239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Montgomery General Hospital Hospital, Montgomery, WV, CCN 511318
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
114078WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Oct 14, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Neurology & Headache Clinic PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

3100 Maccorkle Ave SE
Ste 411
Charleston, WV 25304
Phone (304) 343-4400

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEFFAA

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1992429484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLEARVIEW LN",
            "city": "WALLBACK",
            "state": "WV",
            "postal_code": "252859273",
            "telephone_number": "304-880-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE 411",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041230",
            "telephone_number": "304-343-4400",
            "fax_number": "304-345-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRISTON",
        "first_name": "LYNDSIE",
        "middle_name": "RAE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "114078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992429484",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDSIE",
            "last_name": "THOMAS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.