NPIMap

Individual provider Active NPI

Trista L. Gibson, PA-C

  • Medical Physician Assistant
  • Sophia, WV
National Provider Identifier
1407008519
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
445 Issued in WV
Practice address
821 Robert C. Byrd Dr.
Sophia, WV 25921
Phone
(304) 469-2905
NPI assigned
Oct 21, 2008
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 445 WV Primary

Addresses

Primary practice location

821 Robert C. Byrd Dr.
Sophia, WV 25921

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

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
I20081110000229 WV Practitioner - Physician Assistant 7618036336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

497 Mall Rd
Oak Hill, WV 25901-6115

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1479WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Mar 8, 2019 Accepting new patients
New River Health Association, Inc. CurrentSince Oct 1, 2021 Accepting new patients
New River Health Association, Inc. Current Accepting new patients
New River Health Association, Inc. CurrentSince Mar 8, 2019 Accepting new patients
New River Health Association, Inc. CurrentSince Mar 8, 2019 Accepting new patients
New River Health Association, Inc. CurrentSince Sep 18, 2020 Accepting new patients
New River Health Association, Inc. Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

57 Sutphin Ln
Scarbro, WV 25917
Phone (304) 469-3345

908 Scarbro Rd
Scarbro, WV 25917
Phone (304) 469-3424

315 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 647-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3908/brand/1/csg/161/fhir/r4
  • Direct secure messaging: trista.brunty.1@16450.direct.athenahealth.com

Organizations & group practices 10

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1407008519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ROBERT C. BYRD DR.",
            "city": "SOPHIA",
            "state": "WV",
            "postal_code": "25921",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TRISTA",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sophia, WV

Sources for this page

Verify at the official NPI Registry.