Individual provider Active NPI

Katheryn Sue Marsh

  • Family Nurse Practitioner
  • Elkins, WV
National Provider Identifier
1376140517
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106830 Issued in WV
Practice address
70 Graceland Dr.
Elkins, WV 26241
Phone
(304) 473-5626
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106830 WV Primary

Addresses

Primary practice location

70 Graceland Dr.
Elkins, WV 26241

Mailing address

94 W Main St Ste 202
Buckhannon, WV 26201-2376
Phone (304) 460-7925

Other practice location 1

94 W Main St Ste 202
Buckhannon, WV 26201-2376
Phone (304) 460-7925

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kmarsh111966@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kmarsh111966@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kmarsh111966@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022003755 WV Practitioner - Nurse Practitioner 3274953690 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

149 Staunton Dr
Weston, WV 26452-5604
Phone (304) 269-2022

33 37 W Main St
Buckhannon, WV 26201-2235
Phone (304) 473-5600

34 N Kanawha St
Buckhannon, WV 26201-2714
Phone (304) 473-2250

4 Northridge Dr
Suite 118
Buckhannon, WV 26201-8484
Phone (304) 473-5661

431 Cass Rd
Slatyfork, WV 26291-9014
Phone (304) 572-4410

59 College Ave
Buckhannon, WV 26201-2600
Phone (304) 924-6262

70 Graceland Dr
Elkins, WV 26241-4121
Phone (304) 473-5626

77 W Main St
Buckhannon, WV 26201-2236
Phone (304) 473-1440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 22, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince May 6, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 6, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 6, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 6, 2023 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. PastSince Jul 1, 2026 Accepting new patients
St Josephs Hospital of Buckhannon PastSince Oct 1, 2020 Accepting new patients

Locations

33 W Main St
Buckhannon, WV 26201

59 College Ave
Buckhannon, WV 26201
Phone (304) 473-8000

77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440

34 N Kanawha St
Buckhannon, WV 26201
Phone (304) 473-2250

4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440

78 Queens Alley Rd
Rock Cave, WV 26234

431 Cass Rd
Slatyfork, WV 26291
Phone (304) 572-4410

249 Skidmore Ln
Sutton, WV 26601
Phone (304) 317-7275

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Interoperability endpoints

  • Direct secure messaging: katheryn.marsh.1@4803.direct.athenahealth.com

Organizations & group practices 50

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.

View all 50

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1376140517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 W MAIN ST STE 202",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012376",
            "telephone_number": "304-460-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GRACELAND DR.",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-473-5626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 W Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262012376",
            "country_code": "US",
            "telephone_number": "304-460-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KATHERYN",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarsh111966@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "94 W Main St Ste 202",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262012376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarsh111966@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "94 W Main St Ste 202",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262012376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarsh111966@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "94 W Main St",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262012284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.