Tasha Marie Elswick, PA-C
Individual provider Active NPI Physician Assistant · Winfield, WV
NPI 1356307243 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1356307243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 01024 (WV)
- Practice address
- 192 Baker Dr
Winfield, WV 25213-9464 - Phone
- (304) 720-3555
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Charleston Area Medical Center Inc
Practice addresses (Care Compare)
1836 Harper Rd
Beckley, WV 25801-3366
Phone (304) 250-0200
1838 Harper Rd
Beckley, WV 25801-3366
Phone (304) 388-9337
1844 Harper Rd
Beckley, WV 25801-3366
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
3948 Teays Valley Rd
Hurricane, WV 25526-8728
400 Association Dr
Suite 102
Charleston, WV 25311-1298
4610 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1312
Phone (304) 720-8701
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Hospital & facility affiliations
- Charleston Area Medical Center
- Camc Plateau Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040225001213 | WV | Practitioner - Physician Assistant | 9234025297 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024 | WV | MD | Clinical Neuropsychologist |
| 01024 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Current |
Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current |
Accepting new patients | |
| Neurological Associates, Inc. | Past | Accepting new patients |
Locations
415 Morris St
Ste 400
Charleston, WV 25301
Phone (304) 344-3551
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01024 | WV | Yes |
Addresses
Primary practice location
192 Baker Dr
Winfield, WV 25213-9464
Mailing address
192 Baker Dr
Winfield, WV 25213-9464
Other names
- Miss Tasha Lopez
Other providers in Winfield, WV
- Sarah Dooley
- Mark Drennan
- Jayne Duncan
- Christine Durrenberger
- Jo Eichberger
- Barbara P England
- April Evans
- Kristi A Fawcett
- Joel P Fisher
- Claudia Fizer
All providers in Winfield, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.