Lifetree Medical Services, LLC
NPI 1487178331 · Nurse Practitioner · Danville, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1487178331
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Todd Jones, President(304) 344-1623
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
19 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (18)
- 18086 State Route 55Baker, WV 26801Phone: (304) 897-5903
- 1275 Southview DrBluefield, WV 24701-4347Phone: (304) 325-5448
- 1081 Maplewood DrBridgeport, WV 26330-9848Phone: (304) 842-4135
- 20 Wilson DriveCameron, WV 26033Phone: (304) 636-3318
- 2096 Davisson Run RdClarksburg, WV 26301-7361Phone: (304) 624-6500
- 411 Erbacon RdCowen, WV 26206-8526Phone: (304) 226-5301
- 30 Hidden Brook WayCulloden, WV 25510-9190Phone: (304) 390-5709Fax: (304) 743-1994
- 100 Hresan BlvdFayetteville, WV 25840-1333Phone: (304) 574-0770
- 150 Venus DrGary, WV 24836Phone: (304) 448-2121
Registry dates
- Enumerated
- 2017-08-02
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.