Individual provider Active NPI

Melissa Louise Jensen, PA-C

  • Physician Assistant
  • Beckley, WV
National Provider Identifier
1609185339
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2316 Issued in WV
Practice address
1832 Harper Rd
Beckley, WV 25801
Phone
(681) 207-7130
Fax
(681) 207-7132
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 511 WV
Physician Assistant 363A00000X 2316 WV Primary

Addresses

Primary practice location

1832 Harper Rd
Beckley, WV 25801

Mailing address

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7130

Other practice location 1

425 Stanaford Rd
Beckley, WV 25801-3145
Phone (304) 255-2878

Other practice location 2

229 Merchants Walk
Summersville, WV 26651-1901
Phone (681) 207-7130

Other names 1

  • Miss Melissa Louise Garrett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aganesh@BCP-wv.direct.office.nextgen.com Direct Beckley Cardiology, PLLC

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
I20120807000637 WV Practitioner - Physician Assistant 3870749872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckley Cardiology, PLLCGroup PAC ID 4587979638, 5 clinicians

Practice addresses (Care Compare)

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
511WVMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: melissa.jensen@wvafn.hcadirect.net

Organizations & group practices 1

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1609185339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Stanaford Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013145",
            "country_code": "US",
            "telephone_number": "304-255-2878",
            "fax_number": "304-255-1764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Merchants Walk",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266511901",
            "country_code": "US",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MELISSA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "511",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aganesh@BCP-wv.direct.office.nextgen.com",
            "affiliation": "Y",
            "endpointDescription": "patient portal direct messaging",
            "affiliationName": "Beckley Cardiology, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1832 Harper Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GARRETT",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.