Mary Ann Lester, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

606 Issued in WV

Practice address

365 Courthouse Rd
Princeton, WV 24740-2431

Phone

(304) 425-3922

Fax

(304) 487-0229

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jana Michelle Peters, DO

  • Family Medicine Physician
  • Princeton, WV
  • NPI 1952444234
  Medicare reassignment
• Jana Peters

  • Family Medicine Physician
  • Princeton, WV
  • NPI 1396875746
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1750713269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402431",
            "telephone_number": "304-425-3922",
            "fax_number": "304-487-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COURTHOUSE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402431",
            "telephone_number": "304-425-3922",
            "fax_number": "304-487-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "606",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgina Leong
• Courtney Brooke Lester
• Homer K Lester, MSPA-C
• Lawrence Lester
• Margret Lester, PRSS
• Miranda Lester, RN
• Roxanne Marie Lester, CASE MANAGER/CARE CO
• Sally Anne Lester
• Tracy Erin Lester, L.M.T
• Beverly Sue Lewis

• Physician Assistant in Princeton, WV
• Providers in Princeton, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.