Andrea Jo Tanner, FNP - Medicare Nurse Practitioner in Sutton, WV

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Andrea Jo Tanner, FNP is a medicare enrolled "Nurse Practitioner" in Sutton, West Virginia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Care Of West Virginia, Inc and her current practice location is 273 Skidmore Ln, Sutton, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 765-4400.

Andrea Jo Tanner is licensed to practice in West Virginia (license number 105472) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164039061.

Contact Information

Andrea Jo Tanner, FNP
273 Skidmore Ln,
Sutton, WV 26601-9272
(304) 765-4400
(304) 765-0354

Map and Direction




Provider's Profile

Full NameAndrea Jo Tanner
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location273 Skidmore Ln, Sutton, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrea Jo Tanner graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1164039061
  • Provider Enumeration Date: 09/25/2020
  • Last Update Date: 08/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264852409
  • Enrollment ID: I20201009000133

Medical Identifiers

Medical identifiers for Andrea Jo Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164039061NPI-NPPES
105472OtherWVAPRN, FNP-C

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 105472 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's HospitalBuckhannon, WVHospital
Braxton County Memorial Hospital, IncGassaway, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Care Of West Virginia, Inc044623298768

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea Jo Tanner allows following entities to bill medicare on her behalf.
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609042266
PECOS PAC ID: 0446232987
Enrollment ID: O20040607001043
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1164653457
PECOS PAC ID: 0446232987
Enrollment ID: O20071024000166
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114277050
PECOS PAC ID: 0446232987
Enrollment ID: O20130226000610
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770917577
PECOS PAC ID: 0446232987
Enrollment ID: O20131219001230
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073944658
PECOS PAC ID: 0446232987
Enrollment ID: O20140320000490
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619464369
PECOS PAC ID: 0446232987
Enrollment ID: O20180808001012
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063048189
PECOS PAC ID: 0446232987
Enrollment ID: O20201111000338

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Jo Tanner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea Jo Tanner, FNP
273 Skidmore Ln,
Sutton, WV 26601-9272

Ph: (304) 765-4400		Andrea Jo Tanner, FNP
273 Skidmore Ln,
Sutton, WV 26601-9272

Ph: (304) 765-4400

Reviews and Comments


Nurse Practitioner Nurses in Sutton, WV

Mrs. Stephanie Hope Jackson, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 266 Skidmore Ln, Sutton, WV 26601
Phone: 304-765-0351    Fax: 304-765-7019
Katherine Flint, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 266 Skidmore Ln, Sutton, WV 26601
Phone: 304-765-0351    Fax: 304-765-7019
Angel J Johnson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 859 Days Dr, Sutton, WV 26601
Phone: 304-765-2861    
Charity Delane Kniceley Woods, APRN, BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 404 Main St, Sutton, WV 26601
Phone: 304-765-2225    Fax: 304-765-3072

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.