Jennifer Anne Bailey, D.O.
Individual provider Active NPI Pediatrics Physician · Lewisburg, WV
NPI 1386956100 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1386956100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 2641 (WV)
- Practice address
- 1464 Jefferson St N
Lewisburg, WV 24901-1380 - Phone
- (304) 645-3220
- Fax
- (844) 479-4545
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130830000744 | WV | Practitioner - Pediatric Medicine | 4385887850 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2641 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia School of Osteopathic Medicine Clinic Inc | Pediatrics | Current |
Accepting new patients |
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center Board of Trustees | Past | Accepting new patients | |
| Monroe County Health Center Board of Trustees | Past |
Accepting new patients |
Locations
1464 Jefferson St N
Lewisburg, WV 24901
Phone (304) 647-5577
200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064
Interoperability endpoints
- jennifer.bailey.1@17660.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2641 | WV | Yes |
Addresses
Primary practice location
1464 Jefferson St N
Lewisburg, WV 24901-1380
Mailing address
1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220
Other providers in Lewisburg, WV
- Michael Joseph Arpasi
- Tameran Asbury
- Pamela Ashley
- Zoie Badura
- Samantha Bailey-Short
- Robin Bailey
- Juliet Marie Balfour
- Brad L Ball
- Linda Terek Ball
- Cathy Ballard
All providers in Lewisburg, WV · Pediatrics Physician 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 Apr 16, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.