Emily Henley Gibson, PA-C
Individual provider Active NPI Medical Physician Assistant · Scott Depot, WV
NPI 1659612760 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1659612760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 01713 (WV)
- Practice address
- 31 Hillsdale Cir
Scott Depot, WV 25560-9754 - Phone
- (606) 207-3295
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain State Medical Specialties PLLC
Practice addresses (Care Compare)
165 Scott Ave
Suite 100And102
Morgantown, WV 26508-8839
Phone (304) 554-0400
204 Chase Dr
Hurricane, WV 25526-8938
Phone (304) 760-5144
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.43 of 100
- Quality
- 88.74
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130607000689 | WV | Practitioner - Physician Assistant | 9032357702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1713 | WV | MD | Occupational Therapist |
Interoperability endpoints
- emilygibson@msms.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01713 | WV | Yes |
Addresses
Primary practice location
31 Hillsdale Cir
Scott Depot, WV 25560-9754
Mailing address
31 Hillsdale Cir
Scott Depot, WV 25560-9754
Other names
- Emily Beth Henley
Other providers in Scott Depot, WV
- Emily Alison Frazier
- Fruth Pharmacy Inc
- Lauren Gandee
- Annette Gaskins
- Ghareeb,DDS, PC
- Grace Ann Gibson
- Amanda Gooch
- Beverly Graham
- Kayla Greene
- Dawn Lynn Grigsby
All providers in Scott Depot, WV · Medical Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.