Individual provider Active NPI

Justine A Pagenhardt, MD

  • Emergency Medicine Physician
  • Glen Dale, WV
National Provider Identifier
1346506524
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25613 Issued in WV
Practice address
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone
(304) 843-3313
NPI assigned
Apr 2, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25613 WV Primary

Addresses

Primary practice location

800 Wheeling Ave
Glen Dale, WV 26038-1660

Mailing address

PO Box 780
West Virginia University Hospitals
Morgantown, WV 26507-0780
Phone (304) 285-7101

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jpagenhardt18879@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address jpagenhardt18879@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address jpagenhardt18879@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address jpagenhardt18879@direct.wvuhsdirect.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150127002171 WV Practitioner - Emergency Medicine 2769706563 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince May 19, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Apr 1, 2015 Accepting new patients
Reynolds Memorial Hospital, Inc. CurrentSince Jun 1, 2022 Accepting new patients
West Virginia University Medical Corporation Current Accepting new patients
Potomac Valley Hospital of W VA , Inc Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jul 15, 2019 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Jun 1, 2022 Accepting new patients
Wvu Med Corp Cheat Lake Physicians CurrentSince Apr 1, 2015 Accepting new patients
Potomac Valley Hospital of WV, Inc. Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Davis Memorial Hospital CurrentSince Sep 3, 2019 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Sep 3, 2019 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jul 15, 2019 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Sep 26, 2025 Accepting new patients
West Virginia Health Care Cooperative Inc Past Accepting new patients

Locations

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2185

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Interoperability endpoints

  • Direct secure messaging: jpagenhardt18879@direct.wvuhsdirect.com

Organizations & group practices 16

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 16

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1346506524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "address_2": "WEST VIRGINIA UNIVERSITY HOSPITALS",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070780",
            "telephone_number": "304-285-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381660",
            "telephone_number": "304-843-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGENHARDT",
        "first_name": "JUSTINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "25613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpagenhardt18879@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpagenhardt18879@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpagenhardt18879@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpagenhardt18879@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.