NPIMap

Individual provider Active NPI

Katelynn Stickley, PA-C

  • Physician Assistant
  • Petersburg, WV
National Provider Identifier
1659945087
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2500 Issued in WV
Practice address
111 S Grove St
Petersburg, WV 26847-1804
Phone
(304) 257-2451
Fax
(304) 257-1263
NPI assigned
May 19, 2021
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2500 WV Primary
Medical Physician Assistant 363AM0700X NU
Internal Medicine Physician 207R00000X 2500 WV
Hospitalist Physician 208M00000X 2500 WV

Addresses

Primary practice location

111 S Grove St
Petersburg, WV 26847-1804

Mailing address

PO Box 97
Baker, WV 26801-0097
Phone (304) 897-5915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621000636 WV Practitioner - Physician Assistant 3375943889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E. a. Hawse Health Center, Inc.Group PAC ID 6204728041, 19 clinicians

Practice addresses (Care Compare)

17978 State Rd
Suite 55
Baker, WV 26801-8626
Phone (304) 897-5915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 22, 2022 Accepting new patients
E. a. Hawse Health Center, Inc. CurrentSince Apr 22, 2024 Accepting new patients
E.a. Hawse Health Center Inc Physician Assistant CurrentSince Apr 22, 2024 Accepting new patients
Health and Education Building-Urgent Care CurrentSince Mar 22, 2022 Accepting new patients
E.a. Hawse Health Center Inc. Past Accepting new patients
E. a. Hawse Health Center, Inc. Past Accepting new patients
E. a. Hawse Health Center, Inc. PastSince Jun 30, 2024 Accepting new patients

Locations

17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220

112 Kuykendall Ln
Moorefield, WV 26836
Phone (304) 530-7755

422 S Main St
Moorefield, WV 26836
Phone (304) 538-2331

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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

111 S Grove St
Ste 1
Petersburg, WV 26847
Phone (304) 257-2451

Interoperability endpoints

  • Direct secure messaging: kwills48099@direct.wvuhsdirect.com

Organizations & group practices 8

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 4

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1659945087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268010097",
            "telephone_number": "304-897-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GROVE ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471804",
            "telephone_number": "304-257-2451",
            "fax_number": "304-257-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLEY",
        "first_name": "KATELYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2500",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2500",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "2500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.