Nicholas C Vance, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

Q48962 Issued in WV

Practice address

660A S Main St
Madison, WV 25130-1245

Phone

(304) 369-4250

Fax

(304) 369-8808

NPI assigned

Jun 5, 2006

Sex

Male

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, IL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nvance38174@direct.optum.com

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.

• Boone Memorial Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Madison, WV
  • NPI 1285686725
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Medicare reassignment NPD
• Logan General Hospital LLC

  • Podiatrist
  • Logan, WV
  • NPI 1720032105
  Medicare reassignment NPD
• Rodighiero Health & Wellness Center Inc

  • Family Medicine Physician
  • Chapmanville, WV
  • NPI 1922882711
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WV

  Medicare reassignment
• Appalachia Pathology Consultants LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Logan, WV
  • NPI 1689037780
  NPD
• Boone Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Comfort, WV
  • NPI 1407421431
  NPD
• Boone Memorial Hospital, Inc

  • Psychiatry Physician
  • Madison, WV
  • NPI 1871141366

  Physician Assistant

  NPD
• Logan General Hospital LLC

  • Rural Health Clinic/Center
  • Logan, WV
  • NPI 1558095588
  NPD
• Medexpress Urgent Care Illinois, P.C.

  • Urgent Care Clinic/Center
  • Downers Grove, IL
  • NPI 1922530047
  NPD
• Medexpress Urgent Care, PC - Indiana

  • Urgent Care Clinic/Center
  • Greenwood, IN
  • NPI 1326476003
  NPD
• Elm Emergency Group PLLC

  • Emergency Medicine Physician
  • Logan, WV
  • NPI 1447400734
  NPD (past)

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

• Boone Memorial Hospital, Inc

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1528007705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660A S MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301245",
            "telephone_number": "304-369-4250",
            "fax_number": "304-369-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660A S MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301245",
            "telephone_number": "304-369-4250",
            "fax_number": "304-369-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541435",
            "country_code": "US",
            "telephone_number": "304-367-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "Q48962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00290270",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRGA",
            "identifier": "P00290270",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE SHIEL",
            "identifier": "001754940",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001754940",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Turner
• Alissa Ulbrich
• Kelsey Vance
• Mariah K Vance
• Mary Vance
• Sadie Vance
• Brandy Lou Vannatter, DO
• Sydnei Vincent
• Valerie Janine Vincent, PRSS
• Sandra Vinson

• Physician Assistant in Madison, WV
• Providers in Madison, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.