Individual provider Active NPI

Jerri Oney, PA

  • Physician Assistant
  • Webster Springs, WV
National Provider Identifier
1497732416
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
370 Issued in WV
Practice address
324 Miller Mountain Dr
Webster Springs, WV 26288-1026
Phone
(304) 847-5682
Fax
(304) 847-5985
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 370 WV Primary

Addresses

Primary practice location

324 Miller Mountain Dr
Webster Springs, WV 26288-1026

Mailing address

PO Box 312
Webster Springs, WV 26288-0312
Phone (304) 847-5682

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joney3982@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address joney3982@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20150729007263 WV Practitioner - Physician Assistant 5092029553 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
370WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Braxton County Memorial Hospital CurrentSince Nov 6, 2018 Accepting new patients

Locations

617 River St
Gassaway, WV 26624
Phone (304) 364-2401

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

Organizations & group practices 2

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1497732416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262880312",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MILLER MOUNTAIN DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262881026",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEY",
        "first_name": "JERRI",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joney3982@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "617 River St",
            "city": "Gassaway",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266241137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joney3982@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "617 River St",
            "city": "Gassaway",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266241137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

Verify at the official NPI Registry.