Jennifer Burner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

WV00648 Issued in WV

Practice address

109 Wabash Ave
Philippi, WV 26416-0019

Phone

(304) 457-1670

Fax

(304) 457-1296

NPI assigned

Oct 5, 2005

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment NPD
• Barbour County Board of Health Barbour County Health Department

  dba Barbour County Health Department

  • Community/Behavioral Health Agency
  • Philippi, WV
  • NPI 1861562126
  Medicare reassignment
• United Hospital Center, Inc.

  • Internal Medicine Physician
  • Bridgeport, WV
  • NPI 1760965586
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1477540268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WABASH AVE",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160019",
            "telephone_number": "304-457-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WABASH AVE",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160019",
            "telephone_number": "304-457-1670",
            "fax_number": "304-457-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "WV00648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000531",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276763",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477540268",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV1327C",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broaddus Hospital Association, Inc.
• Broaddus Hospital Association, Inc. (Mansfield Place)
• Broaddus Hospital Association, Inc.
• Broaddus Hospital Group
• Megan Bubnar
• Wilma Leigh Burr
• Garrett L Butler, MD
• Michael Scott Butler
• Dianne Adrian Byrer, MA, LPC, NCC
• Rachel Carr

• Medical Physician Assistant in Philippi, WV
• Providers in Philippi, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.