MRS. MEGAN ELAINE PAULEY APRN
NPI 1104582410
Nurse Practitioner - Acute Care in Charleston, WV

Active since November 10, 2021PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-4100 Get Directions Write a Review

NPPES record last updated: December 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2021, Nov 10, 2021 (2 updates tracked since 2021).

About Mrs. Megan Elaine Pauley Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MEGAN ELAINE PAULEY APRN (NPI 1104582410) is an individual acute care provider in Charleston, West Virginia, licensed in West Virginia (110999) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104582410
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. MEGAN ELAINE PAULEYCredential: APRN
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address1130 Evans Creek RdFraziers Bottom, WV 25082-7015 · (304) 545-9282
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 10, 2021
Last NPPES UpdateDecember 5, 20212 updates tracked since enumeration
NPPES CertifiedDecember 5, 2021
NPI 1104582410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in WV · 110999
3200 MACCORKLE AVE SE, Charleston, WV 25304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Megan Elaine Pauley Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951791698
PECOS Enrollment IDI20211211000125
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
15 services15 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Pauley's NPI number?

The NPI number for Megan Pauley is 1104582410. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Megan Pauley located?

Megan Pauley practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-4100.

What is Megan Pauley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Megan Pauley enrolled in Medicare?

Yes. Megan Pauley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Megan Pauley accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Megan Pauley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megan Pauley affiliated with any hospitals?

According to CMS data, Megan Pauley is affiliated with Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Pauley was last updated on December 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.