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MISTY JAMES FNP
NPI 1891236873
Nurse Practitioner - Family in Camden On Gauley, WV

Active since March 10, 2017PECOS EnrolledAccepts Medicare Assignment
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208(304) 226-5725 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2021, Oct 26, 2018 (2 updates tracked since 2018).

About Misty James Fnp NPPES

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

MISTY JAMES FNP (NPI 1891236873) is an individual family provider in Camden On Gauley, West Virginia, licensed in West Virginia (69991) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Summersville Regional Medical Center, and maintains a secondary practice location in Richwood.

NPPES Registry Identity

NPI1891236873
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISTY JAMESCredential: FNP
Location Address10003 WEBSTER RDCamden On Gauley, WV 26208-7713
Mailing Address10003 Webster RdCamden On Gauley, WV 26208-7713 · (304) 226-5725
Phone(304) 226-5725
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 10, 2017
Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1891236873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 69991
10003 WEBSTER RD, Camden On Gauley, WV 26208
Open in Google Maps ↗

Secondary Practice Location 1

Location 171 Avenue ARichwood, WV 26261-1204 · Phone (304) 846-2608

Other Identifiers 1

Medicaid1891236873WV

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty James Fnp 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 ID941579940
PECOS Enrollment IDI20170707000274
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 Reassignment

Medicare enrollment records show Misty James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camden On Gauley Medical Center Inc
0.1 mi
Federally Qualified Health Center (FQHC)
10003 WEBSTER RD
Camden On Gauley, WV 26208
NPI 1598749244 (304) 226-5725

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

Hospital Affiliations CMS Care Compare

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

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26208 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$105.67 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.

MRS. HEATHER DAWN GLASKO-TULLY MSN, APRN, NP-C, FNP
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
KARA HOLDREN
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
MRS. SARAH DAWN SKAGGS CNM
Advanced Practice Midwife
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
DR. CRYSTAL MINK PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
VIVIAN JEAN CARR PA-C
Physician Assistant
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
TONYA RACHEL YOUNG FNP
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
ANNA MARIE PHILPOTT APRN
Nurse Practitioner (Family)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
LISA ELLEN HENTHORN LPC, NCC
Counselor (Professional)
10003 WEBSTER RD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725

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 Misty James's NPI number?

The NPI number for Misty James is 1891236873. It was assigned to this individual provider in the NPPES registry on March 10, 2017.

Where is Misty James located?

Misty James practices at 10003 Webster Rd, Camden On Gauley, WV 26208. The listed phone number is (304) 226-5725.

What is Misty James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Misty James enrolled in Medicare?

Yes. Misty James 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.

Which organization bills Medicare for Misty James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty James reassigns Medicare benefits to Camden On Gauley Medical Center Inc (Camden On Gauley, 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 Misty James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty James accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Misty James 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 Misty James affiliated with any hospitals?

According to CMS data, Misty James is affiliated with Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Misty James was last updated on March 1, 2021. 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.