Stephanie Lynn Courts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2525 Issued in WV

Practice address

118 Market St
Mannington, WV 26582-1131

Phone

(304) 986-1750

Fax

(304) 986-3742

NPI assigned

Nov 10, 2020

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, DC2 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J and a Health Care LLCGroup PAC ID 8325496409, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• J & a Health Care LLC

  • Urgent Care Clinic/Center
  • Rockville, MD
  • NPI 1275312894

  DC

  Medicare reassignment Care Compare group
• Monongahela Valley Association of Health Centers, Inc

  dba MVA Fairmont Clinic

  • Federally Qualified Health Center (FQHC)
  • Fairmont, WV
  • NPI 1770697278
  NPD
• Monongahela Valley Association of Health Center, Inc.

  dba Monongah Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Monongah, WV
  • NPI 1285093039
  NPD (past)
• Monongahela Valley Association of Health Center, Inc.

  dba MVA East Fairmont Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Fairmont, WV
  • NPI 1578041182
  NPD (past)
• Monongahela Valley Association of Health Center, Inc.

  dba MVA West Fairmont Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Fairmont, WV
  • NPI 1740768357
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1215539721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265551112",
            "telephone_number": "304-366-0700",
            "fax_number": "304-367-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MARKET ST",
            "city": "MANNINGTON",
            "state": "WV",
            "postal_code": "265821131",
            "telephone_number": "304-986-1750",
            "fax_number": "304-986-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541436",
            "country_code": "US",
            "telephone_number": "304-336-0700",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Mason St",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265544188",
            "country_code": "US",
            "telephone_number": "304-367-2123",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1993 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265549138",
            "country_code": "US",
            "telephone_number": "304-367-0654",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 10th St",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265543607",
            "country_code": "US",
            "telephone_number": "304-366-5631",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Shinnston",
            "state": "WV",
            "postal_code": "264311016",
            "country_code": "US",
            "telephone_number": "304-592-1040",
            "fax_number": "304-592-5317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Monongah",
            "state": "WV",
            "postal_code": "265541136",
            "country_code": "US",
            "telephone_number": "304-367-2159",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Camden Ave",
            "address_purpose": "LOCATION",
            "city": "Monongah",
            "state": "WV",
            "postal_code": "265541105",
            "country_code": "US",
            "telephone_number": "304-367-2164",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 N Marion Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "WV",
            "postal_code": "265719717",
            "country_code": "US",
            "telephone_number": "304-986-2550",
            "fax_number": "304-367-8766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2525",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215539721",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Bridges
• Justin Cain
• Anthony Louis Camele, DDS
• Camele&Parker DDS, Inc.
• Derek Dwight Clark, DPT
• Melissa Lynn Crawley
• Kaira Dalton
• Megan Deavers, PHARMD
• Serena Delbridge
• Douglas D. Wolfe, D.O., Inc.

• Physician Assistant in Mannington, WV
• Providers in Mannington, 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 Dec 7, 2021; 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.