MRS. STACY DAWN ALLPORT-PRIDEMORE FNP BC
NPI 1649872425
Nurse Practitioner in South Charleston, WV

Q: What is Stacy Allport-pridemore's NPI number?

The NPI number for Stacy Allport-pridemore is 1649872425. It was assigned to this individual provider in the NPPES registry on November 16, 2020. The provider is also known as Mrs. Stacy Dawn Allport.

Q: What is Stacy Allport-pridemore's specialty?

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

Active since November 16, 2020PECOS Enrolled

332 6TH AVE, SOUTH CHARLESTON, WV 25303(304) 343-1950(866) 225-4179 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Stacy Dawn Allport-pridemore Fnp Bc NPPES

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

MRS. STACY DAWN ALLPORT-PRIDEMORE FNP BC (NPI 1649872425) is an individual nurse practitioner in South Charleston, West Virginia, licensed in West Virginia (107640) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649872425

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. STACY DAWN ALLPORT-PRIDEMORECredential: FNP BC

Location Address332 6TH AVESouth Charleston, WV 25303-1246

Mailing Address332 6th AveSouth Charleston, WV 25303-1246 · (304) 343-1950 · Fax (866) 225-4179

Phone(304) 343-1950

Fax(866) 225-4179

Sole ProprietorNo

Enumeration DateNovember 16, 2020

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1649872425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WV · 107640

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.

332 6TH AVE, South Charleston, WV 25303

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Other Names 1

Former Name (1)Mrs. Stacy Dawn Allport

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Dawn Allport-pridemore Fnp Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Allport-pridemore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alignmed Medical Group Wv, PC

112 mi

Geriatric Medicine

1543 COUNTRY CLUB RD
Fairmont, WV 26554

Reassigned Medicare billing, West Virginia enrollment
49 clinicians in this Medicare group

NPI 1003647462 (304) 363-2273

Geps Physician Group Of West Virginia PC

147 mi

Geriatric Medicine

840 LEE RD
Follansbee, WV 26037

Reassigned Medicare billing, West Virginia enrollment
52 clinicians in this Medicare group

NPI 1457729212 (304) 527-1100

Alignmed Partners, PC

433 mi

Geriatric Medicine

420 DEAN DR
Gardendale, AL 35071

Reassigned Medicare billing, West Virginia enrollment
49 clinicians in this Medicare group

NPI 1881109452 (205) 631-8709

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

102 services12 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

57 services13 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

28 services16 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25303 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$27.07 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$36.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JODI HARPER

Registered Nurse

332 6TH AVE
CHARLESTON, WV 25303

Kanawha County (304) 348-2680

JERRY ROY BUZZARD

Home Health Aide

332 6TH AVE
SOUTH CHARLESTON, WV 25303

Kanawha County (304) 757-9333

LESLIE ANN TALBERT

Registered Nurse (Home Health)

332 6TH AVE
CHARLESTON, WV 25303

Kanawha County (304) 348-2680

MICHELLE RENAE TYLER

Registered Nurse (Home Health)

332 6TH AVE
SOUTH CHARLESTON, WV 25303

Kanawha County (304) 757-9333

MRS. JESSICA H TREADWAY BSN, RN-BC

Registered Nurse

332 6TH AVE
SOUTH CHARLESTON, WV 25303

Kanawha County (304) 757-9333

ANASTASIA RAYE CARMEN RN

Registered Nurse (Home Health)

332 6TH AVE
SOUTH CHARLESTON, WV 25303

Kanawha County (304) 757-9333

THOMAS SCOTT MILLER

Occupational Therapist

332 6TH AVE
SOUTH CHARLESTON, WV 25303

Kanawha County (304) 757-9333

AARON LEE CHRISTIAN

Physical Therapy Assistant

332 6TH AVE
SOUTH CHARLESTON, WV 25303

Kanawha County (304) 757-9333

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 Stacy Allport-pridemore's NPI number?

The NPI number for Stacy Allport-pridemore is 1649872425. It was assigned to this individual provider in the NPPES registry on November 16, 2020. The provider is also known as Mrs. Stacy Dawn Allport.

Where is Stacy Allport-pridemore located?

Stacy Allport-pridemore practices at 332 6th Ave, South Charleston, WV 25303. The listed phone number is (304) 343-1950.

What is Stacy Allport-pridemore's specialty?

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

Is Stacy Allport-pridemore enrolled in Medicare?

Yes. Stacy Allport-pridemore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy Allport-pridemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Allport-pridemore reassigns Medicare benefits to 3 organizations: Alignmed Medical Group Wv, PC (Fairmont, WV), Geps Physician Group Of West Virginia PC (Follansbee, WV) and Alignmed Partners, PC (Gardendale, AL). Each 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 Stacy Allport-pridemore'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 Stacy Allport-pridemore was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.