Melanie L Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

669 Issued in WV

Practice address

200 Hospital Dr
Spencer, WV 25276-1050

Phone

(304) 927-6822

Fax

(304) 927-6873

NPI assigned

Jun 9, 2005

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Development Co.Group PAC ID 4183527476, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roane General Hospital Hospital, Spencer, WV, CCN 511306

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Hospital Development Co

  dba Roane General Hospital

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322
  Medicare reassignment Care Compare group NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Left Hand, WV
  • NPI 1790745677
  Medicare reassignment
• Hospital Development Co

  • Emergency Medicine Physician
  • Spencer, WV
  • NPI 1184721581
  NPD
• Hospital Development Co

  • Ambulance
  • Spencer, WV
  • NPI 1710697040
  NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Spencer, WV
  • NPI 1790745172
  NPD (past)
• Minnie Hamilton Health Care Center, Inc.

  dba Ambulance - Medicaid

  • Ambulance
  • Grantsville, WV
  • NPI 1508974254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Development Co

  dba Roane General Hospital

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322
  Care Compare affiliation

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1043214968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6822",
            "fax_number": "304-927-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6822",
            "fax_number": "304-927-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000833",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Wheeler
• Tiffany Nicole White, COTAL
• Donna Whiting
• Willow Drug Incorporated (Willow Drug)
• Amy Wilson
• Robert Wiseman, PPC
• Bonnie Lue Wolfe
• Abigail Wright
• Sara B Wyer, M.A.
• Clover Yoak

• Physician Assistant in Spencer, WV
• Providers in Spencer, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.