MRS. DENISSE C BISHARA FNP-C
NPI 1336017417
Nurse Practitioner - Family in Charleston, WV

Q: What is Denisse Bishara's NPI number?

The NPI number for Denisse Bishara is 1336017417. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Q: What is Denisse Bishara's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Denisse Bishara was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 29, 2025PECOS EnrolledAccepts Medicare Assignment

3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304(304) 388-2303(304) 388-2390 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Apr 7, 2026, Mar 18, 2026 (3 updates tracked since 2026).

On this page

About Mrs. Denisse C Bishara Fnp-c NPPES

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

MRS. DENISSE C BISHARA FNP-C (NPI 1336017417) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (110534) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1336017417

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DENISSE C BISHARACredential: FNP-C

Location Address3100 MACCORKLE AVE SE STE 205Charleston, WV 25304-1228

Mailing Address3100 Maccorkle Ave Se Ste 205Charleston, WV 25304-1228 · (304) 388-2303 · Fax (304) 388-2390

Phone(304) 388-2303

Fax(304) 388-2390

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 29, 2025

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1336017417 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 · 110534

3100 MACCORKLE AVE SE STE 205, Charleston, WV 25304

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11400 Hospital DrHurricane, WV 25526-9202 · Phone (304) 757-1700

Location 2501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432

Location 33200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432

Location 4800 Pennsylvania AveCharleston, WV 25302-3351 · Phone (304) 388-5432

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Denisse C Bishara Fnp-c 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 ID6204301005

PECOS Enrollment IDI20260409001123

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.

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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.

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)