Theresa Elizabeth Mellette, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3100 Issued in WV

Practice address

1320 Maplewood Ave
Ronceverte, WV 24970-8016

Phone

(304) 647-4411

NPI assigned

Jun 4, 2015

Last updated

Jan 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Hospitalist

Education

West Virginia School of Osteopathic Medicine, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Camc Greenbrier Valley Medical Center IncGroup PAC ID 1254702962, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicecare, Inc Hospice, Charleston, WV, CCN 511501
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Camc Greenbrier Valley Medical Center Inc

  • Cardiovascular Disease Physician
  • Ronceverte, WV
  • NPI 1588373872

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Medicare reassignment NPD
• Kanawha Hospice Care, Inc

  dba HospiceCare

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641

  Family Medicine

  Medicare reassignment NPD
• Camc Greenbrier Valley Medical Center, Inc.

  dba CAMC Greenbrier Valley Medical Center Primary Care

  • Rural Health Clinic/Center
  • Peterstown, WV
  • NPI 1588485478
  NPD
• Charleston Area Medical Center, Inc.

  dba CAMC GVMC Physician Department

  • Hospitalist Physician
  • Ronceverte, WV
  • NPI 1972125995
  NPD
• Kanawha Hospice Care, Inc.

  dba Home Health of West Virginia

  • Home Health Agency
  • Charleston, WV
  • NPI 1679221956
  NPD
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD
• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• Kanawha Hospice Care, Inc

  dba HospiceCare

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641
  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1922488956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-647-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249011177",
            "country_code": "US",
            "telephone_number": "304-645-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLETTE",
        "first_name": "THERESA",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "TRAINING",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby McCutcheon, DPT
• Alisha McGuire, RN
• Kristen M McMillion, MPT
• Abigail Alida McNeel
• James P Meadows, RPH
• Laura Jean Merrill, MD
• Kenley Trace Midkiff, RN
• Sarah Lisbeth Miller
• Steven Christian Miller, MD
• Virginia Elizabeth Moore

• Family Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.