Individual provider Active NPI

Michelle Lynn Ratnakar, PA-C

  • Physician Assistant
  • Elkins, WV
National Provider Identifier
1215030135
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00633 Issued in WV
Practice address
55 Chenoweth Creek Rd
Elkins, WV 26241-9237
Phone
(304) 637-2360
Fax
(304) 637-2362
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00633 WV Primary

Addresses

Primary practice location

55 Chenoweth Creek Rd
Elkins, WV 26241-9237

Mailing address

PO Box 2831
West Virginia Gastroenterology & Endoscopy
Elkins, WV 26241-2831
Phone (304) 637-2360

Other identifiers 2

IdentifierTypeStateIssuer
001763928OtherWVMOUNTAIN STATE BCBS
WV633OtherWVHEALTH PLAN

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
I20050817001130 WV Practitioner - Physician Assistant 0547290694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Allegheny Hwy
Elkins, WV 26241-5749

PO Box
Suite 247
Mill Creek, WV 26280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care Inc. CurrentSince Jan 16, 2023 Accepting new patients
Valley Health Care, Inc Current Accepting new patients
Valley Health Care Inc CurrentSince Jan 16, 2023 Accepting new patients
Valley Health Care, Inc Past Accepting new patients

Locations

505 Main St
Beverly, WV 26253
Phone (304) 636-0133

308 Robert E Lee Ave
Elkins, WV 26241

100 Bell St
Elkins, WV 26241
Phone 3043352050124

105 Nathan St
Elkins, WV 26241
Phone (304) 636-0133

240 Allegheny Hwy
Elkins, WV 26241
Phone (304) 636-0133

101 Scott Ford Rd
Elkins, WV 26241
Phone 3043352050124

100 Kennedy Dr
Elkins, WV 26241

150 Kennedy Dr
Elkins, WV 26241
Phone 30463601332606

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Interoperability endpoints

  • Direct secure messaging: michelle.ratnakar.1@7274.direct.athenahealth.com
  • Direct secure messaging: mlp522pcs1696@primeclinicalsystems.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1215030135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2831",
            "address_2": "WEST VIRGINIA GASTROENTEROLOGY & ENDOSCOPY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262412831",
            "telephone_number": "304-637-2360",
            "fax_number": "304-637-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHENOWETH CREEK RD",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419237",
            "telephone_number": "304-637-2360",
            "fax_number": "304-637-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNAKAR",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "00633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001763928",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "WV633",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.