Individual provider Active NPI

Holly R. Murriner, PA-C

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1285960856
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01324 Issued in WV
Practice address
116 Hills PLZ
Charleston, WV 25387
Phone
(304) 720-4466
Fax
(304) 720-4821
NPI assigned
Nov 2, 2009
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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 01324 WV Primary

Addresses

Primary practice location

116 Hills PLZ
Charleston, WV 25387

Mailing address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other practice location 1

3200 MacCorkle Ave SE
Suite B16
Charleston, WV 25304-1227
Phone (304) 388-5848

Other practice location 2

3200 MacCorkle Ave SE
Suite B16
Charleston, WV 25304-1227
Phone (304) 388-5848

Other identifiers 1

IdentifierTypeStateIssuer
3810016461MedicaidWV

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
I20091208000496 WV Practitioner - Physician Assistant 0143369926 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womencare IncGroup PAC ID 4587568134, shared by 19 NPIs, 52 clinicians

Practice addresses (Care Compare)

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

St RT 62 Eleanor Circle
Eleanor, WV 25070
Phone (304) 380-7728

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1324WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Women Care Inc Physician Assistant CurrentSince Feb 1, 2020 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc CurrentSince Nov 2, 2009 Accepting new patients
Womencare Inc CurrentSince Jun 1, 2019 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Feb 5, 2025 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare, Inc CurrentSince Jun 1, 2019 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

1500 Greenbrier St
Ste 160
Charleston, WV 25311

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

812 Park Ave
Rm 35
Charleston, WV 25302

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Rm 4
Dunbar, WV 25064

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

4513 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-7371

12803 Winfield Rd
Winfield, WV 25213
Phone (304) 586-3088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 12

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1285960856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HILLS PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25387",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_2": "Suite B16",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5848",
            "fax_number": "304-388-9654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_2": "Suite B16",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5848",
            "fax_number": "304-388-9654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRINER",
        "first_name": "HOLLY",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016461",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.