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KAYLA SUEANN ESTES NP
NPI 1689928228
Nurse Practitioner - Family in Saint Clairsville, OH

Active since November 05, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
51342 NATIONAL RD E STE J, SAINT CLAIRSVILLE, OH 43950(740) 695-9617(740) 695-6486 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayla Sueann Estes Np NPPES

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

KAYLA SUEANN ESTES NP (NPI 1689928228) is an individual family provider in Saint Clairsville, Ohio, licensed in Ohio (COA 18873-NP) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689928228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA SUEANN ESTESCredential: NP
Location Address51342 NATIONAL RD E STE JSaint Clairsville, OH 43950-1700
Mailing Address51342 National Rd E Ste JSaint Clairsville, OH 43950-1700 · (740) 695-9617 · Fax (740) 695-6486
Phone(740) 695-9617
Fax(740) 695-6486
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 5, 2012
Last NPPES UpdateJuly 27, 2016
✔ NPI 1689928228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA 18873-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN355405-1 (OH)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71053 (WV)
51342 NATIONAL RD E STE J, Saint Clairsville, OH 43950
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Accepted Insurance

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

Kayla Sueann Estes Np 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 ID5193978534
PECOS Enrollment IDI20130114000460
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%76 patients5/55-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.

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 Kayla Estes's NPI number?

The NPI number for Kayla Estes is 1689928228. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Where is Kayla Estes located?

Kayla Estes practices at 51342 National Rd E Ste J, Saint Clairsville, OH 43950. The listed phone number is (740) 695-9617.

What is Kayla Estes's specialty?

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

Is Kayla Estes enrolled in Medicare?

Yes. Kayla Estes 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 Kayla Estes accept?

Health plans from CareSource and Molina Healthcare list Kayla Estes 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 Kayla Estes affiliated with any hospitals?

According to CMS data, Kayla Estes is affiliated with Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Estes was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.