LAURYN B SLACK
NPI 1235722976
Physician Assistant in Charleston, WV

Q: What is Lauryn Slack's NPI number?

The NPI number for Lauryn Slack is 1235722976. It was assigned to this individual provider in the NPPES registry on February 13, 2021.

Q: What is Lauryn Slack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauryn Slack was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 February 13, 2021PECOS EnrolledAccepts Medicare Assignment

3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304(304) 388-2303 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2026, Jan 8, 2026, Aug 13, 2025 and 2 more (5 updates tracked since 2021).

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About Lauryn B Slack NPPES

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

LAURYN B SLACK (NPI 1235722976) is an individual physician assistant in Charleston, West Virginia, licensed in West Virginia (3061) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235722976

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAURYN B SLACK

Location Address3100 MACCORKLE AVE SE STE 205Charleston, WV 25304-1228

Mailing Address3100 Maccorkle Ave Se Ste 205Charleston, WV 25304-1228 · (304) 388-2303

Phone(304) 388-2303

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 13, 2021

Last NPPES UpdateJanuary 12, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1235722976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WV · 3061

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3100 MACCORKLE AVE SE STE 205, Charleston, WV 25304

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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

Lauryn B Slack 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 ID5294212924

PECOS Enrollment IDI20260123000861

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.

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

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

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

VIKHYATH TERLA M.D.

Internal Medicine (Pulmonary Disease)