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ROBIN PHARES CRNP
NPI 1073196077
Nurse Practitioner - Family in Petersburg, WV

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
117 HOSPITAL DR, PETERSBURG, WV 26847(304) 257-1026(304) 257-1412 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Apr 28, 2021 (2 updates tracked since 2021).

About Robin Phares Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBIN PHARES CRNP (NPI 1073196077) is an individual family provider in Petersburg, West Virginia, licensed in West Virginia (108884) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Potomac Valley Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073196077
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBIN PHARESCredential: CRNP
Location Address117 HOSPITAL DRPetersburg, WV 26847-9566
Mailing AddressPo Box 1019Petersburg, WV 26847-1019 · (304) 257-1026 · Fax (304) 257-1412
Phone(304) 257-1026
Fax(304) 257-1412
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2021
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1073196077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 108884
117 HOSPITAL DR, Petersburg, WV 26847
Open in Google Maps ↗

Other Names 1

Former Name (1)Robin Dolly Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robin Phares Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193124246
PECOS Enrollment IDI20210524000761
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Robin Phares reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grant Memorial Hospital Inc
Same address
Critical Access
117 HOSPITAL DR
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1013603919 (304) 257-1026
Potomac Valley Hospital Of W VA , Inc
29 mi
Critical Access
100 PIN OAK LN
Keyser, WV 26726
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1316054919 (West Virginia)
  • 158 clinicians in this Medicare group
NPI 1912979873 (304) 597-3525
Smoky Mountain Emergency Services, Inc.
138 mi
Internal Medicine
1 PAVILION DR
Daniels, WV 25832
  • Reassigned Medicare billing, West Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1275551731 (304) 763-2888
Health Care Alliance, Inc.
139 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
88 services85 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services63 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26847 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW ARLIE FUNK APRN-FNP BC
Nurse Practitioner (Family)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GRANT MEMORIAL HOSPITAL INC
General Acute Care Hospital (Critical Access)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
MRS. KELLY D SMITH-RIGGLEMAN PAC
Physician Assistant (Medical)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
BRENTON ROBERT HARMAN RPH
Pharmacist
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
MITCHELL JOSEPH MASON
Physical Therapist
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
AMY BRETT BENSENHAVER FNP
Clinic/Center (Urgent Care)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GLENN K GEETING MD
Emergency Medicine
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GRANT MEMORIAL HOSPITAL
Pharmacy (Institutional Pharmacy)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robin Phares's NPI number?

The NPI number for Robin Phares is 1073196077. It was assigned to this individual provider in the NPPES registry on April 28, 2021. The provider is also known as Robin Dolly Np.

Where is Robin Phares located?

Robin Phares practices at 117 Hospital Dr, Petersburg, WV 26847. The listed phone number is (304) 257-1026.

What is Robin Phares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Robin Phares enrolled in Medicare?

Yes. Robin Phares is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robin Phares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin Phares reassigns Medicare benefits to 4 organizations: Grant Memorial Hospital Inc (Petersburg, WV), Potomac Valley Hospital Of W VA , Inc (Keyser, WV), Smoky Mountain Emergency Services, Inc. (Daniels, WV) and Health Care Alliance, Inc. (Beckley, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robin Phares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robin Phares accept?

Health plans from CareSource list Robin Phares as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robin Phares affiliated with any hospitals?

According to CMS data, Robin Phares is affiliated with Potomac Valley Hospital and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robin Phares was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.