Individual provider Active NPI

Natalie Stanley, PA-C

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1689193609
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2102 Issued in WV
Practice address
300 56TH St SE
Charleston, WV 25304-2361
Phone
(304) 926-1600
NPI assigned
Sep 11, 2017
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 2102 WV Primary

Addresses

Primary practice location

300 56TH St SE
Charleston, WV 25304-2361

Mailing address

300 56TH St SE
Charleston, WV 25304-2361
Phone (304) 926-1600

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
I20180109002810 WV Practitioner - Physician Assistant 7416216981 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Devaraj Behavioral Healthcare PLLC CurrentSince Feb 19, 2026 Accepting new patients
Devaraj Behavioral Healthcare PLLC CurrentSince Feb 19, 2026 Accepting new patients
Summit BHC West Virginia LLC CurrentSince May 1, 2021 Accepting new patients

Locations

300 56th St SE
Charleston, WV 25304
Phone (304) 926-1600

412 Tennessee Ave
Charleston, WV 25302
Phone (877) 338-2725

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1689193609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042361",
            "telephone_number": "304-926-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042361",
            "telephone_number": "304-926-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "NATALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.