NPIMap

Individual provider Active NPI

Heidi Danielle Rusk, PA-C

  • Medical Physician Assistant
  • Parkersburg, WV
National Provider Identifier
1366519514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1250 Issued in WV
Practice address
1212 Garfield Ave
Suite 300
Parkersburg, WV 26101-3247
Phone
(304) 865-3600
Fax
(304) 865-3700
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1250 WV Primary
Medical Physician Assistant 363AM0700X 388 WV
Medical Physician Assistant 363AM0700X 2539 OH

Addresses

Primary practice location

1212 Garfield Ave
Suite 300
Parkersburg, WV 26101-3247

Mailing address

1212 Garfield Ave
Suite 300
Parkersburg, WV 26101-3247
Phone (304) 865-3600

Other names 1

  • Heidi Danielle Potts 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
I20061219000388 WV Practitioner - Physician Assistant 5799784880 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

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

1600 Murdoch Ave
Parkersburg, WV 26101-3248

2012 Garfield Ave
Suite 1
Parkersburg, WV 26101-2541
Phone (304) 485-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
388WVMDClinical Psychologist
2539OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Dec 1, 2018 Accepting new patients
Wvu Medical Corporation CurrentSince Dec 1, 2018 Accepting new patients
Bestpractices of West Virginia, Inc. Past Accepting new patients
4M Emergency Systems of Parkersburg, Inc Past Accepting new patients
Pars Neurosurgical Associates, Inc Past Accepting new patients
Devola Orthopedic Center of Sports Medicine, Inc. Past Accepting new patients
Marshall West Virginia Ed Associates, LLC Past Accepting new patients

Locations

90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425

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

1600 Murdoch Ave
Ste 100
Parkersburg, WV 26101
Phone (304) 485-8040

1824 Murdoch Ave
Parkersburg, WV 26101
Phone (304) 424-4057

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366519514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-3600",
            "fax_number": "304-865-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013247",
            "telephone_number": "304-865-3600",
            "fax_number": "304-865-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSK",
        "first_name": "HEIDI",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "1250",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "388",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "2539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "POTTS",
            "middle_name": "DANIELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.