Individual provider Active NPI

Valerie S Keller, PA-C

  • Physician Assistant
  • Williamstown, WV
National Provider Identifier
1437138286
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
922 Issued in WV
Practice address
362 E 4TH St
Williamstown, WV 26187-7947
Phone
(304) 991-8399
Fax
(304) 200-2057
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 922 WV Primary

Addresses

Primary practice location

362 E 4TH St
Williamstown, WV 26187-7947

Mailing address

362 E 4TH St
Williamstown, WV 26187-7947
Phone (304) 424-4760

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
I20040622001361 WV Practitioner - Physician Assistant 3173508249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Hope Telehealth CorporationGroup PAC ID 9133509730, 7 clinicians

Practice addresses (Care Compare)

362 E 4TH St
Williamstown, WV 26187-7947
Phone (304) 991-8399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
922WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2019 Accepting new patients
Mario R Schwabe & Associates PLLC Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

3100 Maccorkle Ave SE
Ste 411
Charleston, WV 25304
Phone (304) 343-4400

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

1824 Murdoch Ave
Ste 214
Parkersburg, WV 26101
Phone (304) 424-4760

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1437138286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E 4TH ST",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261877947",
            "telephone_number": "304-424-4760",
            "fax_number": "304-424-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E 4TH ST",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261877947",
            "telephone_number": "304-991-8399",
            "fax_number": "304-200-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "VALERIE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, WV

Sources for this page

Verify at the official NPI Registry.