Individual provider Active NPI

Katie Paine, APRN,FNP

  • Nurse Practitioner
  • Elkins, WV
National Provider Identifier
1972282689
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
117106 Issued in WV
Practice address
240 Allegheny Hwy
Elkins, WV 26241-5749
Phone
(304) 636-0133
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 117106 WV Primary

Addresses

Primary practice location

240 Allegheny Hwy
Elkins, WV 26241-5749

Mailing address

PO Box 247
Mill Creek, WV 26280-0247
Phone (304) 335-2050

Other practice location 1

46 Town Center Plz Ste A
Mill Creek, WV 26280-9752
Phone (304) 335-2050

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
I20230911000857 WV Practitioner - Nurse Practitioner 2365806304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 247
Mill Creek, WV 26280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117106WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care Inc. CurrentSince Jun 20, 2023 Accepting new patients
Valley Health Care, Inc CurrentSince Jun 20, 2023 Accepting new patients
Valley Health Care, Inc Current Accepting new patients

Locations

105 Nathan St
Elkins, WV 26241
Phone (304) 636-0133

240 Allegheny Hwy
Elkins, WV 26241
Phone (304) 636-0133

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Organizations & group practices 3

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 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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1972282689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800247",
            "telephone_number": "304-335-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415749",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Town Center Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WV",
            "postal_code": "262809752",
            "country_code": "US",
            "telephone_number": "304-335-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINE",
        "first_name": "KATIE",
        "credential": "APRN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "117106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.