Individual provider Active NPI

Catherine Kelley, PA-C

  • Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1851072631
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3035 Issued in WV
Practice address
2000 Foundation Way Ste 3500
Martinsburg, WV 25401-9583
Phone
(304) 901-7080
Fax
(304) 901-7081
NPI assigned
Jul 26, 2023
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 3035 WV Primary

Addresses

Primary practice location

2000 Foundation Way Ste 3500
Martinsburg, WV 25401-9583

Mailing address

2000 Foundation Way Ste 3500
Martinsburg, WV 25401-9583
Phone (304) 901-7080

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
I20251016000028 WV Practitioner - Physician Assistant 8123515822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

2000 Foundation Way
Martinsburg, WV 25401-9197

2000 Foundation Way
Martinsburg, WV 25401-9198

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3035WVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 22, 2025 Accepting new patients
West Virginia University Medical Corporation Single Specialty CurrentSince Sep 22, 2025 Accepting new patients

Locations

2000 Foundation Way
Ste 3500
Martinsburg, WV 25401
Phone (304) 264-1442

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

201 E 5th Ave
Ste 1
Ranson, WV 25438
Phone (304) 728-1812

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1851072631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3500",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019583",
            "telephone_number": "304-901-7080",
            "fax_number": "304-901-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY STE 3500",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019583",
            "telephone_number": "304-901-7080",
            "fax_number": "304-901-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.