Kaitlyn Nicole Crites, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2185 Issued in WV

Practice address

82 Pine Street
Franklin, WV 26807

Phone

(304) 358-2355

NPI assigned

Jul 30, 2018

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Nicole Martin Former name

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Pendleton Community Care IncGroup PAC ID 3678470614, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
• Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316
• Pendleton Manor Nursing home, Franklin, WV, CCN 515124

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kaitlyn.crites.1@6719.direct.athenahealth.com

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.

• Pendleton Community Care, Inc.

  • Clinical Medical Laboratory
  • Franklin, WV
  • NPI 1265634059
  Medicare reassignment Care Compare group
• Pendleton Community Care Inc

  • Federally Qualified Health Center (FQHC)
  • Franklin, WV
  • NPI 1417936535
  NPD
• Pendleton Community Care Inc

  dba Harman Health Center

  • Clinical Medical Laboratory
  • Harman, WV
  • NPI 1437401643
  NPD (past)
• Pendleton Community Care, Inc.

  dba North Fork Primary Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Riverton, WV
  • NPI 1417931379
  NPD (past)

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

• Grant Memorial Hospital Inc

  • Critical Access Hospital
  • Petersburg, WV
  • NPI 1013603919
  Care Compare affiliation
• Pendleton Manor Inc.

  • Skilled Nursing Facility
  • Franklin, WV
  • NPI 1750364139

  Nursing home

  Care Compare affiliation
• Sentara RMH Medical Center

  • General Acute Care Hospital
  • Harrisonburg, VA
  • NPI 1780694372
  Care Compare affiliation

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1235617614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268070100",
            "telephone_number": "304-358-2355",
            "fax_number": "304-358-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PINE STREET",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "26807",
            "telephone_number": "304-358-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITES",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "MARTIN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frances Elaine Champ
• Amber Marie Chan
• Reyenne McKinley Colaw, M.S., CCC-SLP
• Betty M Cole, RN
• Darlene Kay Cole
• Macie Marie Dahmer
• Emma Marie Dalen, FNP-C
• Kimberly Gail Davis
• Sharon Charlene Deel, FNP
• Melinda Dunkle

• Physician Assistant in Franklin, WV
• Providers in Franklin, 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 Oct 19, 2018; 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.