Kelly Ann Robinson, PA-C
Individual provider Active NPI Medical Physician Assistant · Wheeling, WV
NPI 1376844654 · NPPES record last updated Nov 3, 2010
Key facts
- NPI
- 1376844654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 518 (WV)
- Practice address
- 2000 Eoff St
604
Wheeling, WV 26003-3823 - Phone
- (304) 234-8188
- Fax
- (304) 234-8494
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Community Health Center Inc
Reynolds Memorial Hospital, Inc
Practice addresses (Care Compare)
19 RR
Suite 4
Cameron, WV 26033-9520
Phone (304) 686-3376
426 8TH St
Glen Dale, WV 26038-1451
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307
Hospital & facility affiliations
- Reynolds Memorial Hospital, Inc
- Wheeling Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20101227000021 | WV | Practitioner - Physician Assistant | 7315135993 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current |
Accepting new patients | |
| National Diagnostic Imaging,LLC | Past |
Accepting new patients | |
| P and P Health Services, Inc | Past | Accepting new patients |
Locations
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
426 8th St
Ste 200
Glen Dale, WV 26038
Phone (304) 843-3208
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123
2000 Eoff St
#604
Wheeling, WV 26003
Phone (304) 234-8188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 518 | WV | Yes |
Addresses
Primary practice location
2000 Eoff St
604
Wheeling, WV 26003-3823
Mailing address
109 Mount Wood Rd
Wheeling, WV 26003-2632
Phone (304) 233-2455
Other names
- Kelly Ann Dearth
Other providers in Wheeling, WV
- Douglas Neil Robertson
- William Douglas Robertson
- Alison Robinson
- Anne Robinson
- Kayla Robinson
- Gregory Roby
- Kasi Lyn Rogers
- Katherine L Rogers
- Ashley Nicole Rohaley
- Gabriel Paul Rohmann
All providers in Wheeling, WV · Medical 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 Nov 3, 2010. 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.