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

Natasha Nicole Kowalczyk

Individual provider Family Nurse Practitioner · NPI 1639807969

Natasha Nicole Kowalczyk is a Nurse Practitioner in Weirton, West Virginia. Qualified in 2022, 4 years ago. Practices with Wmc Physician Practices LLC, a 111-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

651 Colliers Way Ste 511
Weirton, WV 26062-5054
Phone: (304) 723-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 114578 (WV)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 89228 (WV)

Record details

NPI number1639807969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wmc Physician Practices Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Weirton