Individual provider Active NPI

Kaitlin Christine Jones

  • Physician Assistant
  • Philippi, WV
National Provider Identifier
1265295141
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
116 McClellan Rd
Philippi, WV 26416-8076
Phone
(304) 457-2800
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 WV Primary

Addresses

Primary practice location

116 McClellan Rd
Philippi, WV 26416-8076

Mailing address

116 McClellan Rd
Philippi, WV 26416-8076
Phone (304) 457-2800

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
I20241202000444 WV Practitioner - Physician Assistant 9830624766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belington Community Medical Services AssociationGroup PAC ID 9335171834, 25 clinicians

Practice addresses (Care Compare)

116 McClellan Rd
Philippi, WV 26416-8076
Phone (304) 823-2800

70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800

Hospital & facility affiliations

  • Vandalia Health Broaddus Hospital Hospital, Philippi, WV, CCN 511300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belington Community Medical Services Association Inc Physician Assistant Current Accepting new patients
Belington Community Medical Services Association CurrentSince Dec 1, 2024 Accepting new patients
Belington Community Medical Services Association CurrentSince Dec 1, 2024 Accepting new patients

Locations

70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800

99 Horseshoe Dr
Philippi, WV 26416
Phone (304) 457-4000

116 McClellan Rd
Philippi, WV 26416
Phone (304) 457-2800

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71927

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1265295141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MCCLELLAN RD",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264168076",
            "telephone_number": "304-457-2800",
            "fax_number": "304-457-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MCCLELLAN RD",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264168076",
            "telephone_number": "304-457-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KAITLIN",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philippi, WV

Sources for this page

Verify at the official NPI Registry.