Tearsa R. Keatley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

176 Medical Center Dr
Rainelle, WV 25962-1064

Phone

(304) 438-6188

Fax

(304) 438-6819

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainelle Medical Center IncGroup PAC ID 7416861810, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Charleston, WV, CCN 517115
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tearsakeatley@rmc.allscriptsdirect.net

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.

• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hico, WV
  • NPI 1952815268

  WV

  Medicare reassignment Care Compare group NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324

  WV

  Medicare reassignment Care Compare group
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rainelle, WV
  • NPI 1437227766
  Care Compare group NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  Care Compare group NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001
  Care Compare group NPD
• Rainelle Medical Center, Inc

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys West Virginia, L.L.C.

  • Home Health Agency
  • Charleston, WV
  • NPI 1700834553
  Care Compare affiliation
• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1366748196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATLEY",
        "first_name": "TEARSA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028103",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie E Jarrell, MSW, LGSW
• Amara Johnson
• Jordyn Johnson
• Kevin Johnson
• Erin Justice, MED, NCC, LPC
• Cheri Keener
• Lisa Marie Kessler, D.O.
• Cierra Marie Knight
• Kroger Limited Partnership I
• Patricia E Lally, DO MPH

• All providers in Rainelle, WV
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.