Heather Lynn Mossbarger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

800 Grand Central Ave Ste 3
Vienna, WV 26105-2150

Phone

(304) 865-0555

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Heather Lynn Booth Former name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain State Medical Specialties PLLCGroup PAC ID 9335046754, 38 clinicians

Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
• Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score

90.43 of 100Reported as group

Quality

88.74

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: heather.booth@mmhs.medicity.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.

• Mountain State Medical Specialties, PLLC

  • Dermatology Physician
  • Bridgeport, WV
  • NPI 1891892097

  OH

  Medicare reassignment Care Compare group
• Marietta Memorial Hospital

  • Rural Health Clinic/Center
  • Woodsfield, OH
  • NPI 1962106328
  Medicare reassignment Care Compare group
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Medicare reassignment

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

• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1508160268
  Care Compare affiliation
• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  Care Compare affiliation
• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  Care Compare affiliation

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1194206128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 CORA MILL RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318539",
            "telephone_number": "740-516-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL AVE STE 3",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261052150",
            "telephone_number": "304-865-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Park Center Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261011929",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-568-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Wayne St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503373",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-571-0078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Washington Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457142080",
            "country_code": "US",
            "telephone_number": "740-423-3618",
            "fax_number": "740-568-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Columbus Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011316",
            "country_code": "US",
            "telephone_number": "740-589-3044",
            "fax_number": "740-589-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSSBARGER",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.005786RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.booth@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "110 Park Center Dr Ste 130",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261011929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.booth@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1818 Washington Blvd Ste H",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457142080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.booth@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "802 Wayne St Ste 100",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.booth@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "206 Columbus Rd Ste 402",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457011316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BOOTH",
            "middle_name": "LYNN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Vienna, WV
• Providers in Vienna, 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 Jul 16, 2026; 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.