Individual provider Active NPI

Amberly R Osbourn, PA

  • Medical Physician Assistant
  • Morgantown, WV
National Provider Identifier
1942579958
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1816 Issued in WV
Practice address
2000 Mon Health Medical Park Drive
Suite 2300
Morgantown, WV 26505
Phone
(304) 599-8802
Fax
(304) 599-5607
NPI assigned
Dec 20, 2011
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1816 WV Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Drive
Suite 2300
Morgantown, WV 26505

Mailing address

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168
Phone (304) 599-8802

Other practice location 1

1325 Locust Ave # 32
Fairmont, WV 26554-1435
Phone (304) 363-6210

Other practice location 2

501 Railroad Ave
Elkins, WV 26241-3885
Phone (304) 636-5006

Other practice location 3

2501 Deep Creek Dr Ste 200
Mc Henry, MD 21541-1713
Phone (304) 636-5006

Other names 1

  • Amberly R Glaspell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141022000889 WV Practitioner - Physician Assistant 8820258924 Reassigns benefits to 2 organizations
I20180327001563 MD Practitioner - Physician Assistant 8820258924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
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

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

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1816WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wvu Med Corp Cheat Lake Physicians CurrentSince Feb 5, 2024 Accepting new patients
American Oncology Partners PA Current Accepting new patients
Monongalia County General Hospital Company CurrentSince Feb 4, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 5, 2024 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

2501 Deep Creek Dr
Ste 200
Mc Henry, MD 21541
Phone (304) 599-8802

141 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8880

1325 Locust Ave
#32
Fairmont, WV 26554
Phone (304) 363-6210

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

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

Organizations & group practices 6

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1942579958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DRIVE",
            "address_2": "SUITE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Locust Ave # 32",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541435",
            "country_code": "US",
            "telephone_number": "304-363-6210",
            "fax_number": "304-363-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413885",
            "country_code": "US",
            "telephone_number": "304-636-5006",
            "fax_number": "304-636-4898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Deep Creek Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411713",
            "country_code": "US",
            "telephone_number": "304-636-5006",
            "fax_number": "304-636-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBOURN",
        "first_name": "AMBERLY",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBERLY",
            "last_name": "GLASPELL",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.