KRISTEN NICOLE WITHERS
NPI 1104591015
Nurse Practitioner - Family in Marlinton, WV

Q: What is Kristen Withers's NPI number?

The NPI number for Kristen Withers is 1104591015. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Q: What is Kristen Withers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Withers was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment

821 3RD AVE, MARLINTON, WV 24954(304) 799-4404 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2022, Aug 12, 2021 (2 updates tracked since 2021).

On this page

About Kristen Nicole Withers NPPES

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

KRISTEN NICOLE WITHERS (NPI 1104591015) is an individual family provider in Marlinton, West Virginia, licensed in West Virginia (110337) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Augusta Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104591015

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTEN NICOLE WITHERS

Location Address821 3RD AVEMarlinton, WV 24954-1015

Mailing Address821 3rd AveMarlinton, WV 24954-1015 · (304) 799-4404

Phone(304) 799-4404

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 12, 2021

Last NPPES UpdateAugust 31, 20222 updates tracked since enumeration

NPPES CertifiedAugust 31, 2022

✔ NPI 1104591015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WV · 110337

821 3RD AVE, Marlinton, WV 24954

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Kristen Nicole Withers 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 ID8325443633

PECOS Enrollment IDI20210825001718

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

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510030

Location812 Gorman AvenueElkins, WV 26241 · Randolph County

Emergency services Birthing friendly

Pocahontas Memorial Hospital

Critical Access Hospitals · Buckeye, WV

OwnershipGovernment - Local

CMS Certification Number511314

Location150 Duncan RoadBuckeye, WV 24924 · Pocahontas County

Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24954 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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%55 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

98%60 patients4/55-star benchmark: 100%

Breast Cancer Screening

59%141 patients3/55-star benchmark: 93%

Cervical Cancer Screening

61%189 patients3/55-star benchmark: 98%

Chlamydia Screening for Women

7%56 patients

Closing the Referral Loop: Receipt of Specialist Report

56%231 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

55%314 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

83%220 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

59%104 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

16%104 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,688 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

74%216 patients3/55-star benchmark: 100%

HIV Screening

19%474 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

99%642 patients5/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

96%461 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

21%1,087 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 532 patients

Patients screened: 100% · 532 patients

90%186 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

75%174 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 224 patients

Patients totalRate: 10% · 224 patients

9%224 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))