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KATELYNN STICKLEY PA-C
NPI 1659945087
Physician Assistant - Medical in Petersburg, WV

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
111 S GROVE ST, PETERSBURG, WV 26847(304) 257-2451(304) 257-1263 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Jun 26, 2024, Jan 18, 2022 and 2 more (5 updates tracked since 2021).

About Katelynn Stickley Pa-c NPPES

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

KATELYNN STICKLEY PA-C (NPI 1659945087) is an individual medical provider in Petersburg, West Virginia and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2020).

NPPES Registry Identity

NPI1659945087
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATELYNN STICKLEYCredential: PA-C
Location Address111 S GROVE STPetersburg, WV 26847-1804
Mailing AddressPo Box 97Baker, WV 26801-0097 · (304) 897-5915
Phone(304) 257-2451
Fax(304) 257-1263
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2020
Enumeration DateMay 19, 2021
Last NPPES UpdateFebruary 25, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1659945087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedInternal MedicineTaxonomy 207R00000X · License 2500 (WV)
Also ListedHospitalistTaxonomy 208M00000X · License 2500 (WV)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2500 (WV)
111 S GROVE ST, Petersburg, WV 26847
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Katelynn Stickley Pa-c 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 ID3375943889
PECOS Enrollment IDI20210621000636
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 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$18.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$97.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JOHNATHAN ANDREW LYON
Social Worker
111 S GROVE ST
PETERSBURG, WV 26847
Grant County (304) 257-2451
MRS. AIMEE BETH HELMICK RPH
Pharmacist
111 S GROVE ST
PETERSBURG, WV 26847
Grant County (304) 530-6301
E. A. HAWSE HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
111 S GROVE ST
PETERSBURG, WV 26847
Grant County (304) 530-6101

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 Katelynn Stickley's NPI number?

The NPI number for Katelynn Stickley is 1659945087. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Katelynn Stickley located?

Katelynn Stickley practices at 111 S Grove St, Petersburg, WV 26847. The listed phone number is (304) 257-2451.

What is Katelynn Stickley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katelynn Stickley enrolled in Medicare?

Yes. Katelynn Stickley 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 Katelynn Stickley accept?

Health plans from CareSource list Katelynn Stickley 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 Katelynn Stickley affiliated with any hospitals?

According to CMS data, Katelynn Stickley is affiliated with Winchester Medical Center and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katelynn Stickley was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.