Kaylee Brooke Van Grouw, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2641 Issued in WV

Practice address

124 Brookshire LN
Beckley, WV 25801-6761

Phone

(304) 252-8551

Fax

(304) 461-0435

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaylee Brooke Hilliard Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaylee.hilliard.1@20211.direct.athenahealth.com
• Direct secure messaging: kaylee.hilliard.1@14333.direct.athenahealth.com

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.

• Raleigh General Hospital LLC

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1114475746
  Medicare reassignment NPD
• Raleigh General Hospital LLC

  • Cardiovascular Disease Physician
  • Beckley, WV
  • NPI 1083858377
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1871252635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8324",
            "fax_number": "304-252-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016761",
            "telephone_number": "304-252-8551",
            "fax_number": "304-461-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Rural Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013503",
            "country_code": "US",
            "telephone_number": "304-252-8555",
            "fax_number": "304-461-3307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN GROUW",
        "first_name": "KAYLEE",
        "middle_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "HILLIARD",
            "middle_name": "BROOKE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James William Urciolo II
• Urgent Care, Inc - West Virginia
• Urgent Care, Inc - West Virginia
• Jite Urhie, RPH
• Michael Patrick Valderrama, MD
• Ingrid Jolene Vance
• Kimberly Marie Vance, CRNA
• Zachary R Vance, PA-C
• Skylar Vandall
• Patience Naomi Vandyke

• Physician Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.

Verify at the official NPI Registry.