Individual provider Active NPI

Jennifer Reuther

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1689420846
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4407 Maccorkle Ave SE Ste 2
Charleston, WV 25304-2541
Phone
(304) 925-0392
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

4407 Maccorkle Ave SE Ste 2
Charleston, WV 25304-2541

Mailing address

4407 Maccorkle Ave SE Ste 2
Charleston, WV 25304-2541

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
I20241014001991 WV Practitioner - Physician Assistant 8426580663 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Valley Health Systems, Inc CurrentSince Sep 3, 2024 Accepting new patients
Valley Health Systems, Inc CurrentSince Sep 3, 2024 Accepting new patients
Valley Health Systems, Inc. Physician Assistant CurrentSince Sep 3, 2024 Accepting new patients
Valley Health Systems, Inc CurrentSince Dec 9, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Valley Health Systems Inc CurrentSince Sep 3, 2024 Accepting new patients
Robin Darnell PLLC PastSince May 7, 2024 Accepting new patients
Valley Health Systems Inc PastSince May 7, 2024 Accepting new patients

Locations

4407 Maccorkle Ave SE
Ste 2
Charleston, WV 25304
Phone (304) 925-0392

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

4407 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-0392

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

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

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

Organizations & group practices 10

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1689420846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE STE 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE STE 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042541",
            "telephone_number": "304-925-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTHER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-08",
        "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.