Individual provider Active NPI

Justin Cole Rice, PA-C

  • Physician Assistant
  • New Martinsville, WV
National Provider Identifier
1972214534
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Paducah Dr Ste B
New Martinsville, WV 26155-2710
Phone
(304) 815-0050
Fax
(304) 815-0051
NPI assigned
Dec 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 Paducah Dr Ste B
New Martinsville, WV 26155-2710

Mailing address

208 University Dr
West Liberty, WV 26074-1082
Phone (304) 336-5098

Other practice location 1

208 University Dr
West Liberty, WV 26074-1082
Phone (304) 336-5098

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
I20231229003002 WV Practitioner - Physician Assistant 4486004678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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

100 Paducah Dr
Suite B
New Martinsville, WV 26155-2710
Phone (304) 815-0050

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

State licenses

LicenseStateTypeSpecialty
2794WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 18, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 18, 2023 Accepting new patients
Wheeling Hospital Inc CurrentSince Dec 3, 2023 Accepting new patients
Wheeling Hospital Inc PastSince Dec 1, 2022 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

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

100 Paducah Dr
#B
New Martinsville, WV 26155
Phone (304) 447-2075

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

20 Medical Park
Ste 105
Wheeling, WV 26003
Phone (304) 242-4800

Organizations & group practices 5

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 3

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1972214534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 UNIVERSITY DR",
            "city": "WEST LIBERTY",
            "state": "WV",
            "postal_code": "260741082",
            "telephone_number": "304-336-5098",
            "fax_number": "304-336-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PADUCAH DR STE B",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552710",
            "telephone_number": "304-815-0050",
            "fax_number": "304-815-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 University Dr",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "WV",
            "postal_code": "260741082",
            "country_code": "US",
            "telephone_number": "304-336-5098",
            "fax_number": "304-336-8868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "JUSTIN",
        "middle_name": "COLE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-01-03",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.