Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Nicole Withers

Individual provider Family Nurse Practitioner · NPI 1104591015

Kristen Nicole Withers is a Nurse Practitioner in Marlinton, West Virginia. Qualified in 2021, 5 years ago. Practices with Community Care of West Virginia, Inc, a 87-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2021

Practice location Address checks out

821 3rd Ave
Marlinton, WV 24954-1015
Phone: (304) 799-4404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 110337 (WV)

Record details

NPI number1104591015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address821 3rd Ave, Marlinton, WV 24954-1015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Care Of West Virginia, Inc. — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare