WANDA G BURDETTE P.A.-C.
NPI 1316112030
Physician Assistant in South Charleston, WV

Active since April 23, 2008PECOS Enrolled
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 414-4800 Get Directions Write a Review

NPPES record last updated: January 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wanda G Burdette P.a.-c. NPPES

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

WANDA G BURDETTE P.A.-C. (NPI 1316112030) is an individual physician assistant in South Charleston, West Virginia, licensed in West Virginia (509) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1316112030
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWANDA G BURDETTECredential: P.A.-C.
Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311
Sole ProprietorNo
Enumeration DateApril 23, 2008
Last NPPES UpdateJanuary 1, 2023
NPPES CertifiedJanuary 1, 2023
NPI 1316112030 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 · 509
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.

4605 MACCORKLE AVE SW, South Charleston, WV 25309

Secondary Practice Location 1

Location 1333 Laidley St Fl 2WCharleston, WV 25301-1614 · Phone (304) 347-6116 · Fax (304) 347-6117

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 (PECOS)

Wanda G Burdette P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Specialist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physical Therapist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Anesthesiology
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Anesthesiology
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Emergency Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309

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 Wanda Burdette's NPI number?

The NPI number for Wanda Burdette is 1316112030. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Wanda Burdette located?

Wanda Burdette practices at 4605 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 414-4800.

What is Wanda Burdette's specialty?

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

Is Wanda Burdette enrolled in Medicare?

Yes. Wanda Burdette is registered in the Medicare PECOS enrollment system.

What insurance does Wanda Burdette accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Wanda Burdette 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.

When was this NPI record last updated?

The NPPES record for Wanda Burdette was last updated on January 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.