KELLY BETH HUGHART NURSE PRACTITIONER
NPI 1760154413
Nurse Practitioner in South Charleston, WV

Active since October 01, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
24 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303(304) 720-5000(304) 720-5003 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Beth Hughart Nurse Practitioner NPPES

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

KELLY BETH HUGHART NURSE PRACTITIONER (NPI 1760154413) is an individual nurse practitioner in South Charleston, West Virginia, licensed in West Virginia (110561) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760154413
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY BETH HUGHARTCredential: NURSE PRACTITIONER
Location Address24 MACCORKLE AVE SWSouth Charleston, WV 25303-1476
Mailing Address24 Maccorkle Ave SwSouth Charleston, WV 25303-1476 · (304) 720-5000 · Fax (304) 720-5003
Fax(304) 720-5003
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1760154413 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 · 110561
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.
24 MACCORKLE AVE SW, South Charleston, WV 25303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Beth Hughart Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446355861
PECOS Enrollment IDI20211216001066
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
191 services130 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
24 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25303
Specialist
24 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25303
Dietitian, Registered (Nutrition, Renal)
24 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25303
Ophthalmology
24 MACCORKLE AVE SW, SUITE 202
SOUTH CHARLESTON, WV 25303
Specialist
24 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25303
Clinic/Center (Medical Specialty)
24 MACCORKLE AVE SW, SUITE 203
SOUTH CHARLESTON, WV 25303
Ophthalmology
24 MACCORKLE AVE SW, SUITE 202
SOUTH CHARLESTON, WV 25303
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
24 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25303

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 Kelly Hughart's NPI number?

The NPI number for Kelly Hughart is 1760154413. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Kelly Hughart located?

Kelly Hughart practices at 24 Maccorkle Ave SW, South Charleston, WV 25303. The listed phone number is (304) 720-5000.

What is Kelly Hughart's specialty?

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

Is Kelly Hughart enrolled in Medicare?

Yes. Kelly Hughart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Hughart accept?

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

Is Kelly Hughart affiliated with any hospitals?

According to CMS data, Kelly Hughart is affiliated with Charleston Area Medical Center, Logan Regional Medical Center and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Hughart was last updated on October 1, 2021. 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.