NPIMap

Individual provider Active NPI

Holly Weghorst, PA-C

  • Surgical Physician Assistant
  • Morgantown, WV
National Provider Identifier
1700028784
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
01404 Issued in WV
Practice address
1 Stadium Dr
Morgantown, WV 26506-7900
Phone
(304) 598-4855
Fax
(304) 598-6831
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 01404 WV Primary

Addresses

Primary practice location

1 Stadium Dr
Morgantown, WV 26506-7900

Mailing address

1 Stadium Dr
Morgantown, WV 26506-7900
Phone (304) 598-4855

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
I20090618000007 WV Practitioner - Physician Assistant 4284784919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

1377 Locust Ave
Fairmont, WV 26554-1445
Phone (304) 366-2818

301 Suncrest Town Centre Dr
Morgantown, WV 26505-1874
Phone (304) 599-2473

600 Suncrest Town Centre Dr
Morgantown, WV 26505-1872
Phone (304) 598-4478

Hospital & facility affiliations

  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

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

State licenses

LicenseStateTypeSpecialty
01404WVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Feb 17, 2010 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

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

255 Scott Ave
Morgantown, WV 26508
Phone 304285710145210

600 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 598-4478

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 9

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1700028784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STADIUM DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265067900",
            "telephone_number": "304-598-4855",
            "fax_number": "304-598-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265067900",
            "telephone_number": "304-598-4855",
            "fax_number": "304-598-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGHORST",
        "first_name": "HOLLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "01404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.