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COAL RIVER PRIMARY
NPI 1487284451
Nurse Practitioner - Family in Nellis, WV

Active since January 18, 2020
62 FORK CREEK RD, NELLIS, WV 25142(304) 833-0815(304) 833-0030 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2022, Jan 12, 2022, Oct 12, 2021 and 4 more (7 updates tracked since 2020).

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

NPI1487284451
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
Location Address62 FORK CREEK RDNellis, WV 25142-9737
Mailing Address62 Fork Creek RdNellis, WV 25142-9737 · (304) 833-0815 · Fax (304) 833-0030
Phone(304) 833-0815
Fax(304) 833-0030
Organization SubpartNo
Authorized OfficialRebecca Ruby BarkerSole Owner; Fnp-bc · (304) 833-0815
Enumeration DateJanuary 18, 2020
Last NPPES UpdateApril 5, 20227 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1487284451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X
62 FORK CREEK RD, Nellis, WV 25142
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Other Names 1

Doing Business AsCoal River Primary

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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.

REBECCA RUBY BARKER FNP-BC
Nurse Practitioner (Family)
62 FORK CREEK RD
NELLIS, WV 25142
Boone County (304) 833-0815
BOONE MEMORIAL HOSPITAL, INC
Clinic/Center (Rural Health)
62 FORK CREEK RD
NELLIS, WV 25142
Boone County (304) 369-1230

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.

What insurance does Coal River Primary Care And Wellness Center LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia 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.