COAL RIVER PRIMARY
NPI 1487284451
Nurse Practitioner - Family in Nellis, WV
About Coal River Primary NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COAL RIVER PRIMARY (NPI 1487284451) is a healthcare organization registered as a family in Nellis, West Virginia and active in the NPI registry since January 2020. The organization lists Rebecca Ruby Barker, Sole Owner; Fnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coal River Primary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Coal River Primary, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Coal River Primary Care And Wellness Center LLC's NPI number?
The NPI number for Coal River Primary Care And Wellness Center LLC is 1487284451. It was assigned to this organization in the NPPES registry on January 18, 2020. The provider is doing business as Coal River Primary.
Where is Coal River Primary Care And Wellness Center LLC located?
Coal River Primary Care And Wellness Center LLC is located at 62 Fork Creek Rd, Nellis, WV 25142. The listed phone number is (304) 833-0815.
What is Coal River Primary Care And Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Coal River Primary Care And Wellness Center LLC enrolled in Medicare?
Yes. Coal River Primary Care And Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coal River Primary Care And Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Coal River Primary Care And Wellness Center LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Coal River Primary Care And Wellness Center LLC accept?
Health plans from CareSource list Coal River Primary Care And Wellness Center 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 Coal River Primary Care And Wellness Center LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Coal River Primary · NPI 1487284451
Family organization in Nellis, West Virginia. Organization record, active in the CMS NPPES registry since January 18, 2020.
## Identity
- **NPI:** 1487284451 (Entity type: Organization)
- **Enumerated:** January 18, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Coal River Primary Care And Wellness Center Llc
- **Organization subpart:** No
- **Authorized official:** Rebecca Barker, SOLE OWNER; FNP-BC
## Practice location
- **Address:** 62 FORK CREEK RD, Nellis, WV 25142-9737
- **Phone:** (304) 833-0815 · **Fax:** (304) 833-0030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487284451) · Data from the CMS NPPES public registry.