Individual provider Active NPI

Tessa Ann Ricottilli, PA-C

  • Physician Assistant
  • Elkins, WV
National Provider Identifier
1750641429
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01584 Issued in WV
Practice address
1013 N Randolph Ave
Elkins, WV 26241-3969
Phone
(681) 342-3000
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 01584 WV Primary

Addresses

Primary practice location

1013 N Randolph Ave
Elkins, WV 26241-3969

Mailing address

1013 N Randolph Ave
Elkins, WV 26241-3969

Other practice location 1

116 McClellan Rd
Philippi, WV 26416-8076
Phone (304) 457-2800

Other practice location 2

70 N Sturmer St
Belington, WV 26250-7403
Phone (304) 823-2800

Other names 1

  • Tessa Griffin Other name

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
I20120723000951 WV Practitioner - Physician Assistant 8224294012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

1013 N Randolph Ave
Elkins, WV 26241-3969
Phone (681) 342-3000

116 McClellan Rd
Philippi, WV 26416-8076

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01584WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital Center, Inc. CurrentSince Oct 27, 2025 Accepting new patients
United Hospital Center Past Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1013 N Randolph Ave
Elkins, WV 26241
Phone (681) 342-3000

Organizations & group practices 3

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 4

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1750641429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413969",
            "telephone_number": "681-342-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 McClellan Rd",
            "address_purpose": "LOCATION",
            "city": "Philippi",
            "state": "WV",
            "postal_code": "264168076",
            "country_code": "US",
            "telephone_number": "304-457-2800",
            "fax_number": "304-457-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Sturmer St",
            "address_purpose": "LOCATION",
            "city": "Belington",
            "state": "WV",
            "postal_code": "262507403",
            "country_code": "US",
            "telephone_number": "304-823-2800",
            "fax_number": "304-823-2703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICOTTILLI",
        "first_name": "TESSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "GRIFFIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.