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ADAM THOMAS FANNIN MSN, MHA, APRN-CNP
NPI 1275415580
Registered Nurse - Critical Care Medicine in Charleston, WV

Active since July 25, 2025PECOS Enrolled
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304(740) 395-6011 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adam Thomas Fannin Msn, Mha, Aprn-cnp NPPES

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

ADAM THOMAS FANNIN MSN, MHA, APRN-CNP (NPI 1275415580) is an individual critical care medicine provider in Charleston, West Virginia, licensed in West Virginia (108310) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275415580
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameADAM THOMAS FANNINCredential: MSN, MHA, APRN-CNP
Location Address3100 MACCORKLE AVE SE STE 205Charleston, WV 25304-1228
Mailing Address3417 Virginia Ave SeCharleston, WV 25304-1308 · (740) 395-6011
Phone(740) 395-6011
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 25, 2025
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1275415580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in WV · 108310
Also ListedNurse PractitionerTaxonomy 363L00000X · License 108310 (WV)
3100 MACCORKLE AVE SE STE 205, Charleston, WV 25304
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1800 Pennsylvania AveCharleston, WV 25302-3351 · Phone (304) 388-5432
Location 23200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432
Location 31400 Hospital DrHurricane, WV 25526-9202 · Phone (304) 757-1700
Location 4501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432

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 (PECOS)

Adam Thomas Fannin Msn, Mha, Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42777583
PECOS Enrollment IDI20260805001206
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 Reassignment

Medicare enrollment records show Adam Fannin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charleston Area Medical Center, Inc.
1.8 mi
Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1750166898 (304) 344-3551

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

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.

VIKHYATH TERLA M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
DR. EMILY FRIDENMAKER M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
KAITLIN MCDADE DO
Internal Medicine (Critical Care Medicine)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
KATRINA ROSE TILTON C-NP
Nurse Practitioner
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2390
DR. TARAKE M. ALJAROD M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
LAURYN B SLACK
Physician Assistant
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
DR. LUCAS ALLEN HAMRICK DO
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
DAVID A ADKINS MD
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303

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 Adam Fannin's NPI number?

The NPI number for Adam Fannin is 1275415580. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Adam Fannin located?

Adam Fannin practices at 3100 Maccorkle Ave SE Ste 205, Charleston, WV 25304. The listed phone number is (740) 395-6011.

What is Adam Fannin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Is Adam Fannin enrolled in Medicare?

Yes. Adam Fannin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Fannin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Fannin reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). The 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 Adam Fannin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Fannin accept?

Health plans from CareSource list Adam Fannin 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.

When was this NPI record last updated?

The NPPES record for Adam Fannin was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.