Individual provider Active NPI

Christina L Nolte, PAC

  • Physician Assistant
  • West Milford, WV
National Provider Identifier
1801186853
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01477 Issued in WV
Practice address
597 Liberty Street
West Milford, WV 26451
Phone
(304) 745-4568
Fax
(304) 326-3700
NPI assigned
Apr 12, 2011
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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 01477 WV Primary

Addresses

Primary practice location

597 Liberty Street
West Milford, WV 26451

Mailing address

597 Liberty Street
West Milford, WV 26451
Phone (304) 745-4568

Other identifiers 1

IdentifierTypeStateIssuer
1801186853MedicaidWV

Other names 1

  • Christina L Gherke Former 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
I20110628000003 WV Practitioner - Physician Assistant 4587842323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William R Sharpe Jr HospitalGroup PAC ID 8224949383, 19 clinicians

Practice addresses (Care Compare)

936 Sharpe Hospital Rd
Weston, WV 26452-8550
Phone (304) 269-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1477WVMDRegistered Dietitian
01477WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 8, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince Aug 11, 2015 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince Nov 5, 2013 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients
Community Care of West Virginia, Inc. PastSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. PastSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. PastSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. PastSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients
Community Care of West Virginia, Inc. PastSince Nov 8, 2013 Accepting new patients
Community Care of West Virginia, Inc. PastSince Oct 1, 2016 Accepting new patients
Community Care of West Virginia, Inc. PastSince Aug 18, 2015 Accepting new patients

Locations

1 Eagle Way
#C
Clarksburg, WV 26301

1 Mountaineer Dr
Clarksburg, WV 26301
Phone (304) 326-7470

2 Mountaineer Dr
Clarksburg, WV 26301
Phone (304) 326-7620

200 Tetrick Rd
Shinnston, WV 26431
Phone (304) 326-7280

78 Jerry Toth Dr
Shinnston, WV 26431
Phone (304) 592-5022

182 School St
West Milford, WV 26451
Phone (304) 745-5739

Organizations & group practices 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1801186853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 LIBERTY STREET",
            "city": "WEST MILFORD",
            "state": "WV",
            "postal_code": "26451",
            "telephone_number": "304-745-4568",
            "fax_number": "304-326-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 LIBERTY STREET",
            "city": "WEST MILFORD",
            "state": "WV",
            "postal_code": "26451",
            "telephone_number": "304-745-4568",
            "fax_number": "304-326-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801186853",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GHERKE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Milford, WV

Sources for this page

Verify at the official NPI Registry.