NPIMap

Individual provider Active NPI

Angela M Barker, PA-C

  • Physician Assistant
  • Oak Hill, WV
National Provider Identifier
1366437527
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
309 Issued in WV
Practice address
497 Mall Rd
Oak Hill, WV 25901-6216
Phone
(304) 469-2905
Fax
(304) 469-5486
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 970 WV
Physician Assistant 363A00000X 309 WV Primary

Addresses

Primary practice location

497 Mall Rd
Oak Hill, WV 25901-6216

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Other identifiers 1

IdentifierTypeStateIssuer
3810006750MedicaidWV

Other names 1

  • Angela M Backus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000944 WV Practitioner - Physician Assistant 1052321668 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, shared by 22 NPIs, 36 clinicians

Practice addresses (Care Compare)

497 Mall Rd
Oak Hill, WV 25901-6115

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Sep 21, 2022 Accepting new patients
New River Health Association, Inc. Current Accepting new patients
New River Health Association, Inc. CurrentSince Aug 15, 2016 Accepting new patients
New River Health Association, Inc. CurrentSince Aug 15, 2016 Accepting new patients
New River Health Association, Inc. CurrentSince May 4, 2021 Accepting new patients
New River Health Association, Inc. CurrentSince Sep 7, 2021 Accepting new patients
New River Health Association, Inc Past Accepting new patients
Know Pain Clinic, Inc Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

75 Spyrock Loop Rd
Lookout, WV 25868
Phone (304) 574-2076

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

350 W Oyler Ave
Oak Hill, WV 25901
Phone (304) 469-3551

308 W Oyler Ave
Oak Hill, WV 25901

497 Mall Rd
Ste A
Oak Hill, WV 25901
Phone (304) 469-3261

315 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 647-3500

30 Grizzley Ln
Summersville, WV 26651
Phone (304) 574-2905

Interoperability endpoints

  • Direct secure messaging: angela.barker.1@16450.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lisa Elliott Health CenterLookout, WV, CCN 511937 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health - SophiaSophia, WV, CCN 511956 Federally qualified health center Corporate Officer Feb 1, 2014
New River Intermediate School Based Health CenterOak Hill, WV, CCN 511963 Federally qualified health center Corporate Officer Feb 1, 2014
Oak Hill High School Based Health CenterOak Hill, WV, CCN 511962 Federally qualified health center Corporate Officer Jun 6, 2005
Nicholas County School Based Health CenterSummersville, WV, CCN 511965 Federally qualified health center Corporate Officer Feb 1, 2014
Coal City Elementary School Based Health CenterCoal City, WV, CCN 511969 Federally qualified health center Corporate Officer Feb 1, 2014
Independence School Based Health CenterCoal City, WV, CCN 511970 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health - SummersvilleSummersville, WV, CCN 511124 Federally qualified health center Corporate Director
W-2 Managing Employee		 Feb 1, 2014
Feb 1, 2014
Independence Middle School Based Health CenterCoal City, WV, CCN 511161 Federally qualified health center Corporate Director
W-2 Managing Employee		 Feb 1, 2014
Feb 1, 2014
Fayetteville PK-8 School Based Health CenterFayetteville, WV, CCN 511179 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health - SmithersSmithers, WV, CCN 511189 Federally qualified health center Corporate Officer Feb 1, 2014
New River Primary School Based Health CenterOak Hill, WV, CCN 581821 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health - Oak HillOak Hill, WV, CCN 581809 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health BeckleyBeckley, WV, CCN 581042 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health - WelchWelch, WV, CCN 581047 Federally qualified health center W-2 Managing Employee Feb 1, 2014
New River Health Sunset DriveBeckley, WV, CCN 581066 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health Lester SquareSophia, WV, CCN 581071 Federally qualified health center Corporate Officer Feb 1, 2014
New River Health Harper RoadBeckley, WV, CCN 581082 Federally qualified health center Corporate Officer Feb 1, 2014

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1366437527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905",
            "fax_number": "304-469-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "970",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006750",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BACKUS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.