Katelyn Maria Dantzler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2225 Issued in SC

Practice address

701 Grove Rd
Greenville, SC 29605

Phone

(864) 455-7000

NPI assigned

Sep 30, 2014

Last updated

Feb 6, 2020By 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 2

Addresses

Other names 1

• Katelyn Maria Sell Former name

Medicare fee-for-service enrollment

Enrolled in SC, 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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

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.

• Reynolds Memorial Hospital, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Glen Dale, WV
  • NPI 1518068014
  Medicare reassignment Care Compare group NPD
• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital Physicians

  • Family Medicine Physician
  • New Martinsville, WV
  • NPI 1518590033
  Medicare reassignment NPD
• Wheeling Hospital Inc

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1548923923
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment
• Prisma Health-Upstate

  dba Prisma Health Greenville Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1649726738
  Medicare reassignment
• Baptist Easley

  dba Baptist Easley Hospitalists

  • Hospitalist Physician
  • Easley, SC
  • NPI 1154859031

  Physician Assistant

  NPD
• Prisma Health University Medical Group

  dba Parkside OB-GYN

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health University Medical Group

  dba Eastside Pediatrics, PA

  • Pediatrics Physician
  • Taylors, SC
  • NPI 1801524392
  NPD
• Prisma Health-Upstate

  dba Prisma Health Peds Hemo Oncology

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1689129496
  NPD
• Prisma Health-Upstate

  dba Prisma Health Wonder Center-Non Medicaid

  • Medically Fragile Infants and Children Day Care
  • Greenville, SC
  • NPI 1811439649
  NPD
• Wetzel County Hospital, Inc.

  dba Pine Grove Health Clinic

  • Rural Health Clinic/Center
  • Pine Grove, WV
  • NPI 1245846765
  NPD
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  NPD (past)

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

• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1255734638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-455-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381660",
            "country_code": "US",
            "telephone_number": "304-845-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "KATELYN",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2283",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SELL",
            "middle_name": "MARIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond Lee Daniels, DO
• Patrick Richard Danielson, PT, DPT, ATC
• Kindal Wessel Dankovich, MD
• Melissa Danner, AGPCNP-BC
• Michelle Crandall Dansby, PHARMD
• Todd Danziger, M.D.
• Kevin Duythien Dao, DO
• Lisa Weaver Darby, MD
• Tabatha R Darby, MSN, APRN, FNP-C
• William M Darby III, MD

• Physician Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.