Individual provider Active NPI

Pamela Michelle Odell, PAC

  • Physician Assistant
  • Summersville, WV
National Provider Identifier
1821037102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01063 Issued in WV
Practice address
#1 Stevens Rd
Seneca Health Services Inc
Summersville, WV 26651
Phone
(304) 872-2659
Fax
(304) 872-1685
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01063 WV Primary

Addresses

Primary practice location

#1 Stevens Rd
Seneca Health Services Inc
Summersville, WV 26651

Mailing address

1305 Webster Rd
Seneca Health Services Inc
Summersville, WV 26651
Phone (304) 872-6796

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
I20050405000389 WV Practitioner - Physician Assistant 6800843558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

1100 Main St
Suite 104
Wheeling, WV 26003-2737
Phone (304) 460-5123

120 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 460-5123

400 Foxcroft Ave
Martinsburg, WV 25401-5302
Phone (304) 560-5123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1063WVMDPsychologist
01063WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821037102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WEBSTER RD",
            "address_2": "SENECA HEALTH SERVICES INC",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-6796",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 STEVENS RD",
            "address_2": "SENECA HEALTH SERVICES INC",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-2659",
            "fax_number": "304-872-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "PAMELA",
        "middle_name": "MICHELLE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.