Active NPI
Kara Dodrill Gillespie, PAC
- Physician Assistant
- Oak Hill, WV
National Provider Identifier
1790770949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 864
- Practice address
- 601 Jones Ave
Collins Middle School Wellness Center
Oak Hill, WV 25901-2015 - Phone
- (304) 469-4875
- Fax
- (304) 469-8036
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 864 | WV | Primary |
Addresses
Primary practice location
601 Jones Ave
Collins Middle School Wellness Center
Oak Hill, WV 25901-2015
Mailing address
PO Box 337
Scarbro, WV 25917-0337
Phone (304) 465-1378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810006151 | Medicaid | WV |
Other names 1
- Kara Dodrill
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kgillespie147064@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kgillespie147064@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kgillespie147064@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia Health Care Cooperative Inc
Practice addresses (Care Compare)
400 Fairview Heighs Rd
Summersville, WV 26651-9308
Hospital & facility affiliations
- Summersville Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| New River Health Association, Inc. | Past | Accepting new patients | |
| New River Health Association, Inc. | Past | Accepting new patients | |
| Long Point Emergency Physicians LLC | Past | Accepting new patients | |
| West Virginia Health Care Cooperative Inc | Past | Accepting new patients |
Locations
100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046
Interoperability endpoints
- kgillespie147064@direct.wvuhsdirect.com
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
-
- Medicare Defined Swing Bed Hospital Unit
- Gassaway, WV
- NPI 1861580334
-
- Family Medicine Physician
- Summersville, WV
- NPI 1720471717
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1033088331
-
- Rehabilitation Clinic/Center
- Oak Hill, WV
- NPI 1841619467
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
-
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1790770949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "SCARBRO",
"state": "WV",
"postal_code": "259170337",
"telephone_number": "304-465-1378",
"fax_number": "304-469-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JONES AVE",
"address_2": "COLLINS MIDDLE SCHOOL WELLNESS CENTER",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012015",
"telephone_number": "304-469-4875",
"fax_number": "304-469-8036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "KARA",
"middle_name": "DODRILL",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006151",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgillespie147064@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Fairview Heights Rd",
"city": "Summersville",
"state": "WV",
"country_code": "US",
"postal_code": "266519308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgillespie147064@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Fairview Heights Rd",
"city": "Summersville",
"state": "WV",
"country_code": "US",
"postal_code": "266519308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgillespie147064@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Fairview Heights Rd",
"city": "Summersville",
"state": "WV",
"country_code": "US",
"postal_code": "266519308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KARA",
"last_name": "DODRILL",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.