Individual provider Active NPI

Betty A Barr, PA-C

  • Physician Assistant
  • Spencer, WV
National Provider Identifier
1073851598
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01696 Issued in WV
Practice address
303 Main St
Spencer, WV 25276-1313
Phone
(304) 927-7775
Fax
(304) 927-7774
NPI assigned
Jan 17, 2013
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 01696 WV Primary

Addresses

Primary practice location

303 Main St
Spencer, WV 25276-1313

Mailing address

PO Box 390
Huntington, WV 25708-0390
Phone (304) 429-1088

Other practice location 1

186 Hospital Dr
Grantsville, WV 26147-7100
Phone (304) 354-9244

Other practice location 2

921 Mineral Rd Ste 101
Glenville, WV 26351-1342
Phone (304) 462-7322

Other names 1

  • Betty A Braley Former name

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
I20130308000181 WV Practitioner - Physician Assistant 6901707884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

303 Main St
Spencer, WV 25276-1313
Phone (304) 927-7775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01696WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1073851598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "304-429-1088",
            "fax_number": "304-354-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN ST",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761313",
            "telephone_number": "304-927-7775",
            "fax_number": "304-927-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "WV",
            "postal_code": "261477100",
            "country_code": "US",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-5963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 Mineral Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "WV",
            "postal_code": "263511342",
            "country_code": "US",
            "telephone_number": "304-462-7322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "BETTY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "BRALEY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.