NPIMap

Individual provider Active NPI

Peter V. Wentzel, MD

  • Family Medicine Physician
  • Grafton, WV
National Provider Identifier
1952470841
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22587 Issued in WV
Practice address
725 North Pike Street
Grafton, WV 26354-1270
Phone
(304) 265-4909
Fax
(304) 265-4915
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22587 WV Primary

Addresses

Primary practice location

725 North Pike Street
Grafton, WV 26354-1270

Mailing address

25 W Bluemont St # a
Grafton, WV 26354-1242
Phone (304) 265-0312

Other identifiers 1

IdentifierTypeStateIssuer
3810007172MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000405 WV Practitioner - Family Practice 0547260002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Taylor Community Health Centers, IncorporatedGroup PAC ID 3072406438, shared by 8 NPIs, 4 clinicians

Practice addresses (Care Compare)

216 Lincoln St
Grafton, WV 26354-1442
Phone (304) 265-1851

25 W Bluemont St
Grafton, WV 26354-1242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22587WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preston-Taylor Community Health Centers, Incorporated CurrentSince Feb 1, 2024 Accepting new patients
Preston Taylor Community Health Centers, Incorporated CurrentSince Feb 27, 2014 Accepting new patients
Preston Taylor Community Health Centers, Incorporated CurrentSince Feb 27, 2014 Accepting new patients
Preston Taylor Community Health Centers, Incorporated Current Accepting new patients
Preston Taylor Community Health Centers, Incorporated Current Accepting new patients
Preston Taylor Community Health Centers, Incorporated Past Accepting new patients

Locations

2604 Grange Hall Rd
Eglon, WV 26716
Phone (304) 735-3155

25 W Bluemont St
Grafton, WV 26354
Phone (304) 265-0312

725 N Pike St
Grafton, WV 26354
Phone (304) 265-4909

25 W Bluemont St
#A
Grafton, WV 26354

670 Spring Hills Rd
Grafton, WV 26354
Phone (304) 265-0722

14311 George Washington Hwy
Mount Storm, WV 26739
Phone (304) 693-7616

1321 N Mountaineer Hwy
Newburg, WV 26410
Phone (304) 892-2812

2060 N Mountaineer Hwy
Newburg, WV 26410
Phone (304) 892-2812

30 Cortland Acres Ln
Thomas, WV 26292
Phone (304) 463-3331

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1952470841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W BLUEMONT ST # A",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541242",
            "telephone_number": "304-265-0312",
            "fax_number": "304-265-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH PIKE STREET",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541270",
            "telephone_number": "304-265-4909",
            "fax_number": "304-265-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "PETER",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007172",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WV

Sources for this page

Verify at the official NPI Registry.