Individual provider Active NPI

Kourtnie Roxanne McQuillen, M.D.

  • Obstetrics & Gynecology Physician
  • Weston, WV
National Provider Identifier
1174058820
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29149 Issued in WV
Practice address
66 Hospital PLZ Ste 103
Weston, WV 26452-8595
Phone
(304) 269-3108
NPI assigned
May 1, 2017
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29149 WV Primary

Addresses

Primary practice location

66 Hospital PLZ Ste 103
Weston, WV 26452-8595

Mailing address

66 Hospital PLZ Ste 103
Weston, WV 26452-8595
Phone (304) 269-3108

Other practice location 1

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-8000

Other practice location 2

880 N Tennessee Ave Ste 105
Martinsburg, WV 25401-9401
Phone (304) 264-8603

Other practice location 3

1 Medical Center Dr
HSC North P.O. Box OBGYN
Morgantown, WV 26506-1200
Phone (304) 293-7542

Other practice location 4

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other practice location 5

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other names 1

  • Ms. Kourtnie Roxanne Brown Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcquillen103128@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210914000025 WV Practitioner - Obstetrics/Gynecology 2062818206 Reassigns benefits to 2 organizations
I20240123002069 PA Practitioner - General SurgeryPractitioner - Obstetrics/Gynecology 2062818206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Suite 415
Bethel Park, PA 15102-1821
Phone (412) 572-6164

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29149WVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical Services Inc. CurrentSince Feb 1, 2024 Accepting new patients
University Healthcare Physicians Inc CurrentSince Jul 3, 2021 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Feb 1, 2024 Accepting new patients
University Healthcare Physicians, Inc. Obstetrics & Gynecology CurrentSince Jul 3, 2021 Accepting new patients
Obhg West Virginia Corp Obstetrics & Gynecology CurrentSince Apr 26, 2024 Accepting new patients
St Clair Memorial Hospital Past Accepting new patients
St Clair Medical Services Inc Past Accepting new patients
Stonewall Jackson Memorial Hospital Company Past Accepting new patients

Locations

2000 Oxford Dr
Ste 415
Bethel Park, PA 15102
Phone (412) 942-1066

1 Robinson Plz
Ste 410
Pittsburgh, PA 15205
Phone (412) 494-3339

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1050 Bower Hill Rd
Ste 205
Pittsburgh, PA 15243
Phone (412) 572-6184

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

880 N Tennessee Ave
Ste 105
Martinsburg, WV 25401
Phone (304) 264-8603

880 N Tennessee Ave
Ste 110
Martinsburg, WV 25401
Phone (304) 596-2149

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1174058820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HOSPITAL PLZ STE 103",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528595",
            "telephone_number": "304-269-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HOSPITAL PLZ STE 103",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528595",
            "telephone_number": "304-269-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 N Tennessee Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254019401",
            "country_code": "US",
            "telephone_number": "304-264-8603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "HSC North P.O. Box OBGYN",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "304-293-7542",
            "fax_number": "304-293-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-636-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUILLEN",
        "first_name": "KOURTNIE",
        "middle_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "29149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcquillen103128@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Hospital Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254013402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KOURTNIE",
            "last_name": "BROWN",
            "middle_name": "ROXANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, WV

Sources for this page

Verify at the official NPI Registry.