Individual provider Active NPI

Chelsey K Palmer, PA-C

  • Physician Assistant
  • Glen Dale, WV
National Provider Identifier
1902134901
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
490 Issued in WV
Practice address
426 8TH St Ste 204
Glen Dale, WV 26038-1451
Phone
(304) 221-4594
NPI assigned
Dec 2, 2009
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 490 WV Primary

Addresses

Primary practice location

426 8TH St Ste 204
Glen Dale, WV 26038-1451

Mailing address

2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8663

Other practice location 1

1000 National Rd
Wheeling, WV 26003-5774
Phone (304) 217-3520

Other identifiers 1

IdentifierTypeStateIssuer
0069945MedicaidOH

Other names 1

  • Chelsey K Taylor 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
I20100303000086 WV Practitioner - Physician Assistant 9739224791 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
Telehealth
Offers telehealth services
Group practices
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc CurrentSince Nov 1, 2019 Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients
Valley Radiologists Inc Past Accepting new patients

Locations

426 8th St
Ste 204
Glen Dale, WV 26038
Phone (304) 843-1433

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

210 Fairmont Pike Rd
Wheeling, WV 26003
Phone (304) 221-3020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1902134901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033823",
            "telephone_number": "304-234-8663",
            "fax_number": "304-234-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 8TH ST STE 204",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381451",
            "telephone_number": "304-221-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 National Rd",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260035774",
            "country_code": "US",
            "telephone_number": "304-217-3520",
            "fax_number": "304-217-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHELSEY",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "TAYLOR",
            "middle_name": "K",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.