MADISON CRISSEY NPI 1619784857

NPI Information

  • NPI: 1619784857
  • Provider Name: MADISON CRISSEY
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 MON HEALTH MEDICAL PARK DR STE 2100
    MORGANTOWN, WV
    ZIP 26505
  • Phone: (304) 599-6811

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NPI Details

Madison Crissey is a women's health nurse practitioner in Morgantown, WV with 2 years of experience. Madison Crissey NPI is 1619784857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 MON HEALTH MEDICAL PARK DR STE 2100
MORGANTOWN, WV
ZIP 26505-168
Phone: (304) 599-6811
Fax: (304) 599-7159

The NPI 1619784857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2024 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthRN707156PENNSYLVANIANo
2363LW0102XNurse PractitionerWomen's Health106845WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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