Individual provider Active NPI

Krystal Smithers, PA-C

  • Medical Physician Assistant
  • Oak Hill, WV
National Provider Identifier
1033558465
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01725 Issued in WV
Practice address
497 Mall Rd
Oak Hill, WV 25901-6216
Phone
(304) 469-2905
NPI assigned
Jun 19, 2013
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01725 WV Primary

Addresses

Primary practice location

497 Mall Rd
Oak Hill, WV 25901-6216

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Other practice location 1

850 Independence Rd.
Coal City, WV 25823
Phone (304) 469-2905

Other identifiers 1

IdentifierTypeStateIssuer
1033558465OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130812000666 WV Practitioner - Physician Assistant 0648412288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 Maccorkle Ave SE
Charleston, WV 25314-1160

497 Mall Rd
Oak Hill, WV 25901-6115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01725WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WV Asthma and Allergy Centers, Inc. CurrentSince Jun 10, 2013 Accepting new patients
New River Health Association, Inc. CurrentSince Sep 12, 2025 Accepting new patients
WV Asthma and Allergy Centers, Inc. CurrentSince Jun 10, 2013 Accepting new patients
New River Health Association, Inc. CurrentSince Sep 12, 2025 Accepting new patients
New River Health Association, Inc. CurrentSince Sep 12, 2025 Accepting new patients
New River Health Association, Inc. Current Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

246 George St
Beckley, WV 25801
Phone (304) 253-7100

208 Maccorkle Ave SE
Charleston, WV 25314
Phone (304) 343-4300

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

800 Independence Rd
Sophia, WV 25921
Phone (681) 539-3337

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1033558465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Independence Rd.",
            "address_purpose": "LOCATION",
            "city": "Coal City",
            "state": "WV",
            "postal_code": "25823",
            "country_code": "US",
            "telephone_number": "304-469-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHERS",
        "first_name": "KRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033558465",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.