Individual provider Active NPI

Kaitlynn Elizabeth Cullen, PA-C, ATC

  • Surgical Physician Assistant
  • Morgantown, WV
National Provider Identifier
1609258979
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2282 Issued in WV
Practice address
1000 Mon Health Medical Park Dr Ste 1103
Morgantown, WV 26505-1143
Phone
(304) 599-1448
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2282 WV
Surgical Physician Assistant 363AS0400X 2282 WV Primary

Addresses

Primary practice location

1000 Mon Health Medical Park Dr Ste 1103
Morgantown, WV 26505-1143

Mailing address

1000 Mon Health Medical Park Dr Ste 1103
Morgantown, WV 26505-1143
Phone (304) 599-1448

Other practice location 1

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168
Phone (304) 599-6811

Other practice location 2

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other practice location 3

3000 Mon Health Medical Park Dr Ste 3300
Morgantown, WV 26505-1170
Phone (304) 599-1448

Other practice location 4

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-8000

Other practice location 5

25 Garton Plz
Weston, WV 26452-2128
Phone (304) 517-1115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cullenk@direct.monhealthsys.org 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
I20191125000122 WV Practitioner - Physician Assistant 0941632319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

600 Suncrest Town Centre Dr
Suite 310
Morgantown, WV 26505-1873
Phone (304) 598-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2282WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Nov 1, 2019 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jun 19, 2025 Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

2000 Mon Health Medical Park Dr
Ste 2100
Morgantown, WV 26505
Phone (304) 599-6811

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

1000 Mon Health Medical Park Dr
Ste 1103
Morgantown, WV 26505
Phone (304) 285-2835

3000 Mon Health Medical Park Dr
Ste 3300
Morgantown, WV 26505
Phone (304) 599-1448

25 Garton Plz
Weston, WV 26452
Phone (304) 269-6620

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: cullenk@direct.monhealthsys.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1609258979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1103",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-599-1448",
            "fax_number": "304-599-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1103",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-599-1448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Mon Health Medical Park Dr Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051168",
            "country_code": "US",
            "telephone_number": "304-599-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Mon Health Medical Park Dr Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051170",
            "country_code": "US",
            "telephone_number": "304-599-1448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Garton Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264522128",
            "country_code": "US",
            "telephone_number": "304-517-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "KAITLYNN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2282",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cullenk@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "Mon Health Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Mon Health Medical Park Dr Ste 1103",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265051143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.