Individual provider Active NPI

Racheal Nicole Lafferty, PA

  • Physician Assistant
  • Daniels, WV
National Provider Identifier
1114674892
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
351 4H Lake Rd
Daniels, WV 25832-9531
Phone
(304) 877-8215
Fax
(304) 763-4275
NPI assigned
Mar 3, 2022
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Surgical Physician Assistant 363AS0400X 854 WV
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

351 4H Lake Rd
Daniels, WV 25832-9531

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2628

Other practice location 1

399 Grey Flats Rd
Beckley, WV 25801-5878
Phone (304) 877-8215

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
I20220803000669 WV Practitioner - Physician Assistant 7113309485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh General Hospital LLC CurrentSince Aug 1, 2022 Accepting new patients
Community Health Systems Inc CurrentSince Aug 12, 2024 Accepting new patients
Raleigh General Hospital LLC CurrentSince Aug 1, 2022 Accepting new patients
Community Health Systems Inc CurrentSince Nov 24, 2024 Accepting new patients
Community Health Systems, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Community Health Systems Inc PastSince Nov 9, 2021 Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

1717 Harper Rd
Ste A
Beckley, WV 25801
Phone (304) 461-3879

1717 Harper Rd
Ste AB2ND
Beckley, WV 25801

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

399 Grey Flats Rd
Beckley, WV 25801
Phone (304) 877-8215

351 4H Lake Rd
Daniels, WV 25832
Phone (304) 877-8215

Interoperability endpoints

  • Direct secure messaging: rachael.lafferty.1@14333.direct.athenahealth.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, 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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1114674892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-253-2628",
            "fax_number": "304-252-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 4H LAKE RD",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329531",
            "telephone_number": "304-877-8215",
            "fax_number": "304-763-4275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Grey Flats Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258015878",
            "country_code": "US",
            "telephone_number": "304-877-8215",
            "fax_number": "304-763-4275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "RACHEAL",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "854",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniels, WV

Sources for this page

Verify at the official NPI Registry.