Lynne Alice Shaver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

336 Issued in WV

Practice address

533 Hackers Creek Rd
Jane Lew, WV 26378-8394

Phone

(304) 884-8941

Fax

(304) 884-8943

NPI assigned

Jul 21, 2006

Last updated

Oct 13, 2014By 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

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williams Family Practice PLLCGroup PAC ID 2567619141, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stonewall Jackson Memorial Hospital Company Hospital, Weston, WV, CCN 510038

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Williams Family Practice PLLC

  • Family Medicine Physician
  • Weston, WV
  • NPI 1780945907
  Medicare reassignment Care Compare group

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

• Stonewall Jackson Memorial Hospital Company

  • Rural Acute Care Hospital
  • Weston, WV
  • NPI 1477559433
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1104847615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 HACKERS CREEK RD",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263788394",
            "telephone_number": "304-884-8941",
            "fax_number": "304-884-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 HACKERS CREEK RD",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263788394",
            "telephone_number": "304-884-8941",
            "fax_number": "304-884-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "LYNNE",
        "middle_name": "ALICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Nathan Reel
• Brittany Joy Riffle, ASSOCIATES DEGREE
• Jennifer Leanne Riley
• Misty D. Satterfield, PHYSICAL THERAPIST
• Stephanie Diane Sears
• Lessie Jolene Smith
• Lillian Brooke Smith
• Vallerie Ann Snow IV, MASSAGE THERAPIST
• Stonewall Jackson Memorial Hospital (Lively Healthcare Center)
• Whitney Stroop

• Physician Assistant in Jane Lew, WV
• Providers in Jane Lew, 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 Oct 13, 2014; 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.