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RAY A ERVIN CNP
NPI 1356851893
Nurse Practitioner in Vanceburg, KY

Active since October 11, 2017PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
246 COMMONWEALTH ROAD, VANCEBURG, KY 41179(606) 796-0010(606) 796-0011 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Dec 30, 2020, Aug 5, 2020 and 3 more (6 updates tracked since 2017).

About Ray A Ervin Cnp NPPES

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

RAY A ERVIN CNP (NPI 1356851893) is an individual nurse practitioner in Vanceburg, Kentucky, licensed in Kentucky (3011811) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356851893
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRAY A ERVINCredential: CNP
Location Address246 COMMONWEALTH ROADVanceburg, KY 41179
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-6942 · Fax (740) 356-7851
Phone(606) 796-0010
Fax(606) 796-0011
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 11, 2017
Last NPPES UpdateMay 15, 20236 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1356851893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 3011811✔ Licensed in OH · 021924
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
246 COMMONWEALTH ROAD, Vanceburg, KY 41179
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1207 Plummers LnVanceburg, KY 41179-7683 · Phone (606) 796-0010 · Fax (606) 796-0011
Location 241861 Pomeroy PikePomeroy, OH 45769-9473 · Phone (740) 992-4822
Location 3500 Burlington RdJackson, OH 45640-9360 · Phone (740) 288-4625
Location 4100 Jackson PikeGallipolis, OH 45631-1560 · Phone (740) 446-5364

Other Identifiers 2

Medicaid0255888OH
Medicaid7100529910KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Ray A Ervin Cnp 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 ID446519003
PECOS Enrollment IDI20180108000270
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services46 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
31 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41179 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 2

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

MRS. NATOSHA LEIGH STAGGS BSN, RN
Nurse Practitioner
246 COMMONWEALTH ROAD
VANCEBURG, KY 41179
Lewis County (606) 796-0010
ADRIANN COOPER CNP
Nurse Practitioner
246 COMMONWEALTH ROAD
VANCEBURG, KY 41179
Lewis County (606) 796-0010

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 Ray Ervin's NPI number?

The NPI number for Ray Ervin is 1356851893. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Ray Ervin located?

Ray Ervin practices at 246 Commonwealth Road, Vanceburg, KY 41179. The listed phone number is (606) 796-0010.

What is Ray Ervin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ray Ervin enrolled in Medicare?

Yes. Ray Ervin 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.

What insurance does Ray Ervin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Ray Ervin 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 Ray Ervin affiliated with any hospitals?

According to CMS data, Ray Ervin is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Ray Ervin was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.