Individual provider Active NPI

Janelda Rae Duncan, PA-C

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1710963103
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
825 Issued in WV
Practice address
4407 Maccorkle Ave SE
Charleston, WV 25304-2541
Phone
(304) 925-0392
Fax
(304) 925-0396
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00825 WV
Physician Assistant 363A00000X 825 WV Primary

Addresses

Primary practice location

4407 Maccorkle Ave SE
Charleston, WV 25304-2541

Mailing address

3200 Maccorkle Seave B16
Charleston, WV 25304-1227
Phone (304) 388-5848

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
I20040225000109 WV Practitioner - Physician Assistant 7517853799 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

4407 Maccorkle Ave SE
Charleston, WV 25304-2541
Phone (304) 925-0392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228WVMDPsychologist
625WVMDPsychologist
825WVMDChiropractor
00825WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. Physician Assistant CurrentSince Sep 28, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Physician Assistant Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc CurrentSince Dec 9, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jul 10, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Valley Health Systems, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
New Century Emergency Physician of West Virginia Inc Physician Assistant Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Valley Health Systems Inc Past Accepting new patients
Nitro Primary Care Past Accepting new patients

Locations

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

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

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

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683

3751 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-8703

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

Interoperability endpoints

  • Direct secure messaging: rduncan20104@valleyhealthsystems.direct-ci.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1710963103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE SEAVE B16",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5848",
            "fax_number": "304-388-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042541",
            "telephone_number": "304-925-0392",
            "fax_number": "304-925-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JANELDA",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "00825",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.