Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164039061 Individual Practitioner Female Practitioner

Andrea Jo Tanner , FNP

Nurse Practitioner • Sutton, WV

Professional Overview & Biography Verified Profile Summary

Andrea Tanner, FNP is a registered healthcare professional specializing in Nurse Practitioner in Sutton, WV. Practice services are available at 273 SKIDMORE LN under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, detection test by immunoassay with direct visual observation for streptococcus, group a (strep), automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

273 Skidmore Ln

Sutton, WV 266019272

Telephone 3047654400
Fax 3047650354
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sutton, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Sutton, WV (549 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
30 30 $65.00 $62.00
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
15 15 $37.00 $15.36

Medical Specialties & State Licenses

CMS Verified: 2022-08-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WV 105472

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aprn, Fnp-C
105472 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Amanda Lanagan

Counselor - Mental Health

NPI 1043900871
Lisa Simms

Marriage & Family Therapist

NPI 1053010629
Brandi Carpenter , FNP-C

Nurse Practitioner - Family

NPI 1134853278

Family Nurse Practitioner (Certified)

Betsy Coulter , LICSW

Social Worker - Clinical

NPI 1205312329

Licensed Independent Clinical Social Worker

Jacoba Wilson

Case Manager/Care Coordinator

NPI 1235911926
Lora Conner

Case Manager/Care Coordinator

NPI 1245007913

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 31, 2022

Registered at 273 SKIDMORE LN, SUTTON, WV 266019272 (Tel: 3047654400)

📍
Updated Business Mailing Address August 31, 2022

Registered at 273 SKIDMORE LN, SUTTON, WV 266019272 (Tel: 3047654400)

NPI Profile Active September 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2020

Registered at 266 SKIDMORE LN, SUTTON, WV 266019271 (Tel: 3047650351)

📍
Updated Business Mailing Address September 25, 2020

Registered at 249 SKIDMORE LN, SUTTON, WV 266019272 (Tel: 3043177425)

👤
Provider Name / Credentials Updated September 25, 2020

Recorded as ANDREA TANNER, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2020

Nurse Practitioner (License #105472 in WV)

🟢
Initial NPI Registration & Enumeration September 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164039061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2020
Last Update: August 31, 2022
Sole Proprietor: No

Mailing Address

273 Skidmore Ln

Sutton, WV 266019272

Phone: 3047654400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.