Individual provider Active NPI

Colleen Roshau, PA-C

  • Physician Assistant
  • Lewisburg, WV
National Provider Identifier
1770685992
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
257 Issued in WV
Practice address
1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone
(304) 645-3220
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 257 WV Primary

Addresses

Primary practice location

1464 Jefferson St N
Lewisburg, WV 24901-1380

Mailing address

1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220

Other identifiers 1

IdentifierTypeStateIssuer
3810025084MedicaidWV

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
I20050214000502 WV Practitioner - Physician Assistant 5496707853 Reassigns benefits to 10 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
West Virginia School of Osteopathic Medicine Clinic IncGroup PAC ID 0941113427, 33 clinicians

Practice addresses (Care Compare)

1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Charleston, WV, CCN 517115
  • Home Care Plus, Incorporated Home health agency, Lewisburg, WV, CCN 517051
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1773WVMDMental Health Counselor
257WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center Inc CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
West Virginia School of Osteopathic Medicine Clinic Inc CurrentSince Jun 1, 2025 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients
Northern Greenbrier Health Clinic, Inc Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

1464 Jefferson St N
Lewisburg, WV 24901
Phone (304) 647-5577

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

176 Medical Center Dr
Rainelle, WV 25962

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Interoperability endpoints

  • Direct secure messaging: colleen.roshau.1@17660.direct.athenahealth.com
  • Direct secure messaging: colleenroshau@rmc.allscriptsdirect.net

Organizations & group practices 17

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 17

Hospital & facility affiliations 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1770685992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 JEFFERSON ST N",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011380",
            "telephone_number": "304-645-3220",
            "fax_number": "844-479-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 JEFFERSON ST N",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011380",
            "telephone_number": "304-645-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAU",
        "first_name": "COLLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025084",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.