Individual provider Active NPI

Amanda Weishar Patterson, PA-C

  • Physician Assistant
  • Triadelphia, WV
National Provider Identifier
1750797866
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2743 Issued in WV
Practice address
500 Cabela Dr
Triadelphia, WV 26059-1044
Phone
(618) 618-1011
Fax
(304) 551-0201
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2743 WV Primary
Physician Assistant 363A00000X MA063263 PA
Physician Assistant 363A00000X 643 WV
Physician Assistant 363A00000X 50.004347RX OH

Addresses

Primary practice location

500 Cabela Dr
Triadelphia, WV 26059-1044

Mailing address

136 Westgate Dr
Wheeling, WV 26003-4958
Phone (304) 281-0103

Other names 1

  • Amanda Rose Weishar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140904001804 WV Practitioner - Physician Assistant 0749408714 Reassigns benefits to 2 organizations
I20160330001522 OH Practitioner - Physician Assistant 0749408714 Reassigns benefits to 1 organization
I20211216001340 PA Practitioner - Physician Assistant 0749408714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain State Medical Specialties PLLCGroup PAC ID 9335046754, 38 clinicians

Practice addresses (Care Compare)

165 Scott Ave
Suite 100And102
Morgantown, WV 26508-8839
Phone (304) 554-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
83.84
Promoting interoperability
85
Improvement activities
40
Cost
59.85

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.004347RXOHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: awpatterson@msms.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1750797866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WESTGATE DR",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034958",
            "telephone_number": "304-281-0103",
            "fax_number": "304-232-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CABELA DR",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260591044",
            "telephone_number": "618-618-1011",
            "fax_number": "304-551-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AMANDA",
        "middle_name": "WEISHAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2743",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063263",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "643",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004347RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WEISHAR",
            "middle_name": "ROSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Triadelphia, WV

Sources for this page

Verify at the official NPI Registry.