Crystal M. Cooper, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

466 Issued in WV

Practice address

821 Robert C Byrd Dr.
Sophia, WV 25921

Phone

(304) 469-2905

Fax

(304) 683-6903

NPI assigned

Oct 30, 2008

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 identifiers 1

Other names 1

• Crystal M. Weaver 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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.cooper.1@16450.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.

• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oak Hill, WV
  • NPI 1386318756
  Medicare reassignment Care Compare group NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scarbro, WV
  • NPI 1811983331
  Medicare reassignment NPD (past)
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coal City, WV
  • NPI 1235436478
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sophia, WV
  • NPI 1851836225
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sophia, WV
  • NPI 1922811744
  NPD (past)

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

• Raleigh General Hospital LLC

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1942453261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ROBERT C BYRD DR.",
            "city": "SOPHIA",
            "state": "WV",
            "postal_code": "25921",
            "telephone_number": "304-469-2905",
            "fax_number": "304-683-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CRYSTAL",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014077",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WEAVER",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destiny Renea Bickford
• Lisa Bowers
• Felicia Leeanne Cadle, COTA/L
• April Chapman
• Laura E Cogar
• Country Roads Healthcare, LLC
• Holly Daniels
• Davis Chiropractic Inc
• Robert Kent Davis, DC
• Jessica Marie Dennis

• Physician Assistant in Sophia, WV
• Providers in Sophia, 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 Jan 27, 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.