Zachary R Vance, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01352 Issued in WV

Practice address

124 Brookshire LN
Beckley, WV 25801-6761

Phone

(304) 252-8551

Fax

(304) 461-0435

NPI assigned

Sep 3, 2008

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.vance.1@14333.direct.athenahealth.com
• Direct secure messaging: zachary.vance@wvafn.hcadirect.net

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.

• Community Health Systems, Inc.

  dba Access Health

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1588738538
  Medicare reassignment NPD
• Cherokee Emergency Services, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1982643938
  Medicare reassignment
• Health Care Alliance, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1730128760
  Medicare reassignment
• Oak Hill Clinic Corp

  • Family Medicine Physician
  • Oak Hill, WV
  • NPI 1336148931
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment
• Community Health Systems Inc

  dba AccessHealth Professional Park 2

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1194510644
  NPD
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1164670105",
    "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": "124 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016761",
            "telephone_number": "304-252-8551",
            "fax_number": "304-461-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ZACHARY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013543",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jite Urhie, RPH
• Michael Patrick Valderrama, MD
• Kaylee Brooke Van Grouw, PA
• Ingrid Jolene Vance
• Kimberly Marie Vance, CRNA
• Skylar Vandall
• Patience Naomi Vandyke
• Amanda Vanhoose, PHARM D.
• Dennis Carl Vanmeter
• Justin Vanover

• Physician Assistant in Beckley, WV
• Providers in Beckley, 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 Jan 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.