NPIMap

Individual provider Active NPI

Joanna B. Stover, PA

  • Physician Assistant
  • Nitro, WV
National Provider Identifier
1700824661
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01117 Issued in WV
Practice address
4111 1St Ave
Suite 3
Nitro, WV 25143-1345
Phone
(304) 755-4797
Fax
(304) 755-4799
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 01117 WV Primary

Addresses

Primary practice location

4111 1St Ave
Suite 3
Nitro, WV 25143-1345

Mailing address

4111 1St Ave
Suite 3
Nitro, WV 25143-1345
Phone (304) 755-4797

Other practice location 1

3248 Teays Valley Rd
Hurricane, WV 25526-1320
Phone (304) 757-1031

Other identifiers 4

IdentifierTypeStateIssuer
95002945MedicaidKY
613154606OtherWVBLACK LUNG/FECA
001712508OtherWVBLUE CROSS BLUE SHIELD
P00372242OtherWVRR MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joanna.stover@camc.cernerdirect.com
Direct Messaging Address joanna.stover@camc.cernerdirect.com

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
I20040611000393 WV Practitioner - Physician Assistant 3577546316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3248 Teays Valley Rd
Suite 100
Hurricane, WV 25526-1320
Phone (304) 757-1031

400 Association Dr
Suite 102
Charleston, WV 25311-1298

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Dec 1, 2015 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
St. Mary's Medical Management, LLC Physician Assistant CurrentSince Aug 22, 2009 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
River Valley Emergency Physicians, Inc Physician Assistant Past Accepting new patients
Teays Valley Emergency Physicians, Inc Physician Assistant Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

4111 1st Ave
Ste 3
Nitro, WV 25143
Phone (304) 755-4797

Interoperability endpoints

  • Direct secure messaging: joanna.stover@camc.cernerdirect.com

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1700824661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 1ST AVE",
            "address_2": "SUITE 3",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431345",
            "telephone_number": "304-755-4797",
            "fax_number": "304-755-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 1ST AVE",
            "address_2": "SUITE 3",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431345",
            "telephone_number": "304-755-4797",
            "fax_number": "304-755-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3248 Teays Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255261320",
            "country_code": "US",
            "telephone_number": "304-757-1031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "JOANNA",
        "middle_name": "B.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002945",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FECA",
            "identifier": "613154606",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001712508",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00372242",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanna.stover@camc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3248 Teays Valley Rd",
            "city": "Hurricane",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255261320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanna.stover@camc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "4111 1st Ave",
            "address_2": "Suite 3",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nitro, WV

Sources for this page

Verify at the official NPI Registry.