Individual provider Active NPI

Jill B Fowler, P.A.

  • Physician Assistant
  • New Martinsville, WV
National Provider Identifier
1043364342
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
206 Issued in WV
Practice address
150 Paducah Dr
New Martinsville, WV 26155-2710
Phone
(304) 455-8190
Fax
(304) 455-8131
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 206 WV Primary

Addresses

Primary practice location

150 Paducah Dr
New Martinsville, WV 26155-2710

Mailing address

150 Paducah Dr
New Martinsville, WV 26155-2710
Phone (304) 455-8190

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jfowler216395@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address jfowler216395@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20080319000361 WV Practitioner - Physician Assistant 1254417066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wetzel County Hospital IncGroup PAC ID 4284065400, 49 clinicians

Practice addresses (Care Compare)

3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8080

Hospital & facility affiliations

  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206WVMDPsychologist
773WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wetzel County Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Emergency Medicine Physicians of Ohio County, PLLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

150 Paducah Dr
New Martinsville, WV 26155
Phone (304) 455-8190

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

3 E Benjamin Dr
Ste B
North Martinsvlle, WV 26155
Phone (304) 455-6003

Interoperability endpoints

  • Direct secure messaging: jfowler216395@direct.wvuhsdirect.com

Organizations & group practices 6

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1043364342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PADUCAH DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552710",
            "telephone_number": "304-455-8190",
            "fax_number": "304-455-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PADUCAH DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552710",
            "telephone_number": "304-455-8190",
            "fax_number": "304-455-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JILL",
        "middle_name": "B",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler216395@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Paducah Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler216395@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Paducah Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.