Individual provider Active NPI

Amy Jo Kump, PAC

  • Physician Assistant
  • Moorefield, WV
National Provider Identifier
1689632887
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00964 Issued in WV
Practice address
8 Lee St
Moorefield, WV 26836-1091
Phone
(304) 538-7707
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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 00964 WV Primary

Addresses

Primary practice location

8 Lee St
Moorefield, WV 26836-1091

Mailing address

8 Lee St
Moorefield, WV 26836-1091
Phone (304) 538-7707

Other identifiers 2

IdentifierTypeStateIssuer
3810000548MedicaidWV
1689632887OtherNPI

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
I20191209000846 WV Practitioner - Physician Assistant 8426297763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valeo Medical PLLCGroup PAC ID 5597806471, 19 clinicians

Practice addresses (Care Compare)

260 Russell Ave
New Martinsville, WV 26155-1571
Phone (304) 398-4949

65 Hospital Dr
Suite 102
Petersburg, WV 26847-9549
Phone (304) 257-2527

747 N Main St C
Moorefield, WV 26836-1336
Phone (304) 538-8000

Hospital & facility affiliations

  • Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
82.07
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
964WVMDFamily Medicine Physician

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1689632887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LEE ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361091",
            "telephone_number": "304-538-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LEE ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361091",
            "telephone_number": "304-538-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMP",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "00964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000548",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689632887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

Verify at the official NPI Registry.