KERI NICOLE PHARES MA
NPI 1477063105
Psychologist in Beckley, WV
About Keri Nicole Phares Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERI NICOLE PHARES MA (NPI 1477063105) is an individual psychologist in Beckley, West Virginia, licensed in West Virginia (1167) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keri Nicole Phares Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keri Phares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beckley, WV 25801
- Reassigned Medicare billing, West Virginia enrollment
- 12 clinicians in this Medicare group
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.
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 Keri Phares's NPI number?
The NPI number for Keri Phares is 1477063105. It was assigned to this individual provider in the NPPES registry on October 9, 2017.
Where is Keri Phares located?
Keri Phares practices at 101 S Eisenhower Dr, Beckley, WV 25801. The listed phone number is (304) 256-7100.
What is Keri Phares's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Keri Phares enrolled in Medicare?
Yes. Keri Phares is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keri Phares's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keri Phares reassigns Medicare benefits to Fmrs Health Systems Inc (Beckley, 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 Keri Phares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keri Phares was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.