Individual provider Active NPI

Jessy Marie Hamrick, PA

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1639719990
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
830 Pennsylvania Ave Ste 110
Charleston, WV 25302-3389
Phone
(304) 982-7031
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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 Primary

Addresses

Primary practice location

830 Pennsylvania Ave Ste 110
Charleston, WV 25302-3389

Mailing address

830 Pennsylvania Ave Ste 110
Charleston, WV 25302-3389
Phone (304) 982-7031

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
I20240819002490 WV Practitioner - Physician Assistant 9335687573 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2390WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Jun 10, 2024 Accepting new patients
Valley Health Systems, Inc CurrentSince Dec 10, 2023 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jul 29, 2024 Accepting new patients
South Charleston Pediatrics CurrentSince Jul 24, 2022 Accepting new patients
Valley Health Systems, Inc. Physician Assistant CurrentSince Jun 10, 2024 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

830 Pennsylvania Ave
Ste 110
Charleston, WV 25302
Phone (304) 344-2241

830 Pennsylvania Ave
Ste 305
Charleston, WV 25302
Phone (304) 345-8107

830 Pennsylvania Ave
Ste 108
Charleston, WV 25302
Phone (304) 344-8368

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

4290 US Route 60
Huntington, WV 25705
Phone (304) 781-5001

3751 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-8703

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

Interoperability endpoints

  • Direct secure messaging: jhamrick26274@valleyhealthsystems.direct-ci.com

Organizations & group practices 7

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1639719990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 110",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023389",
            "telephone_number": "304-982-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 110",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023389",
            "telephone_number": "304-982-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "JESSY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.