Denise Marie Pettit, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01252 Issued in WV

Practice address

101 Marcley Drive
Martinsburg, WV 25401

Phone

(304) 263-8911

Fax

(304) 263-9450

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Denise Marie Rhoads Former name

Electronic endpoints 6

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Mountain Health Physicians IncGroup PAC ID 9133405327, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Health Home Health/West Virginia Home health agency, Romney, WV, CCN 517075
• Panhandle Home Health, Inc. Home health agency, Martinsburg, WV, CCN 517035
• Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
• Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpettit598847@valleyhealth.direct-ci.com

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.

• East Mountain Health Physicians Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  Medicare reassignment Care Compare group NPD (past)
• East Mountain Health Physicians, Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1366925851
  NPD
• East Mountain Health Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Martinsburg, WV
  • NPI 1437885365
  NPD
• East Mountain Health Physicians, Inc.

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)
• Samuel D Morris

  • Nursing Facility/Intermediate Care Facility
  • Martinsburg, WV
  • NPI 1336392299
  NPD (past)
• University Healthcare Physicians, Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1659625739
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• City Hospital, Inc

  • General Acute Care Hospital
  • Martinsburg, WV
  • NPI 1457389249
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ranson, WV
  • NPI 1104242569
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1316364953

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  • Critical Access Hospital
  • Ranson, WV
  • NPI 1891722377
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Anesthesiology Physician
  • Ranson, WV
  • NPI 1982704961

  Hospital

  Care Compare affiliation
• Northern WV Home Health, LLC

  • Home Health Agency
  • Romney, WV
  • NPI 1871544213
  Care Compare affiliation
• Panhandle Home Health Inc

  • Home Health Agency
  • Martinsburg, WV
  • NPI 1174588750
  Care Compare affiliation
• War Memorial Hospital, Inc.

  • Critical Access Hospital
  • Berkeley Springs, WV
  • NPI 1467450353
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1669497152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100",
            "fax_number": "304-263-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DRIVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4803 Gerrardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "WV",
            "postal_code": "254283450",
            "country_code": "US",
            "telephone_number": "304-821-9011",
            "fax_number": "304-821-9012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Administrative Dr Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046378",
            "country_code": "US",
            "telephone_number": "304-350-3230",
            "fax_number": "304-350-3244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr # 101",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25404",
            "country_code": "US",
            "telephone_number": "681-247-1250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Oak Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "25438",
            "country_code": "US",
            "telephone_number": "304-350-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Administrative Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25404",
            "country_code": "US",
            "telephone_number": "304-350-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052197",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9930421",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpettit598847@soc.inova.org",
            "affiliation": "N",
            "address_1": "4803 Gerrardstown Rd",
            "city": "Inwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254283450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpettit598847@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpettit598847@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr Ste 200",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254046378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpettit598847@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr # 101",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpettit598847@soc.inova.org",
            "affiliation": "N",
            "address_1": "97 Administrative Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpettit598847@soc.inova.org",
            "affiliation": "N",
            "address_1": "100 Oak Lee Dr",
            "city": "Ranson",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "RHOADS",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica L Peterson, LPN
• Marylou Hingco Petredis, NP
• Andrea Christina Petrucci Kackley, MA LPC NCC
• Angela Petrucci
• Danielle Petry
• Kristen Aimee Pettrone, MD
• Anthony Phillips
• Laura Phillips, MSW, LGSW
• Physical Medicine Associates, LTD
• Julia Patricia Pickard, M.D.

• Medical Physician Assistant in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.