HILLBILLY HEALTHCARE LLC
NPI 1396329769
Nurse Practitioner - Family in Martinsburg, WV

Active since May 11, 2021CLIA 51D2268649 · Waiver
12 QUASAR DR, MARTINSBURG, WV 25405(304) 839-3454(304) 724-7399 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 18, 2022, Oct 16, 2022, May 11, 2021 (3 updates tracked since 2021).

About Hillbilly Healthcare Llc NPPES

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

HILLBILLY HEALTHCARE LLC (NPI 1396329769) is a healthcare organization registered as a family in Martinsburg, West Virginia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Leona Fay Cook, Doctorate Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396329769
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHILLBILLY HEALTHCARE LLC
Location Address12 QUASAR DRMartinsburg, WV 25405-7706
Mailing AddressPo Box 726Kearneysville, WV 25430-0726 · (304) 433-2229 · Fax (304) 724-7399
Fax(304) 724-7399
Organization SubpartNo
Authorized OfficialLeona Fay CookDoctorate Nurse Practitioner · (304) 433-2229
Enumeration DateMay 11, 2021
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1396329769 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
12 QUASAR DR, Martinsburg, WV 25405

Other Identifiers 2

Other1568626174Npi
Other1568626174WV · Npi Number For Individual To Be Linked To This Account

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2268649

Hillbilly Healthcare, LLC · Martinsburg, WV
Active · expires Sep 14, 2026
CLIA Number51D2268649
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorLeona F. Cook
Laboratory Phone(304) 839-3454
Laboratory LocationHillbilly Healthcare, LLC12 Quasar Drive, Martinsburg, WV 25405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hillbilly Healthcare LLC's NPI number?

The NPI number for Hillbilly Healthcare LLC is 1396329769. It was assigned to this organization in the NPPES registry on May 11, 2021.

Where is Hillbilly Healthcare LLC located?

Hillbilly Healthcare LLC is located at 12 Quasar Dr, Martinsburg, WV 25405. The listed phone number is (304) 839-3454.

What is Hillbilly Healthcare LLC's specialty?

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

Does Hillbilly Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2268649) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hillbilly Healthcare LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Hillbilly Healthcare LLC 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 Hillbilly Healthcare LLC was last updated on October 18, 2022. 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.