Active NPI
Christina L Nolte, PAC
- Physician Assistant
- West Milford, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01477
- 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, 2016
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801186853 | Medicaid | WV |
Other names 1
- Christina L Gherke
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1477 | WV | MD | Registered Dietitian |
| 01477 | WV | MD | Physician Assistant |
Practice roles
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.
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-
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-
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- Federally Qualified Health Center (FQHC)
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.