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KATELYNN RICKELLE ALLEY NP-C
NPI 1972117752
Nurse Practitioner - Family in Charleston, WV

Active since August 31, 2020PECOS Enrolled
111 COURT ST, CHARLESTON, WV 25301(877) 868-5351 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelynn Rickelle Alley Np-c NPPES

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

KATELYNN RICKELLE ALLEY NP-C (NPI 1972117752) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (104223) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972117752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYNN RICKELLE ALLEYCredential: NP-C
Location Address111 COURT STCharleston, WV 25301-2165
Mailing AddressRr 1 Box 172Williamson, WV 25661 · (204) 928-4018
Phone(877) 868-5351
Sole ProprietorNo
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1972117752 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 · 104223
111 COURT ST, Charleston, WV 25301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelynn Rickelle Alley Np-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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katelynn Alley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mingo County Family Wellness Center LLC
52 mi
Primary Care
872 ROUTE 65
Williamson, WV 25661
  • Reassigned Medicare billing, West Virginia enrollment
  • 3 clinicians in this Medicare group
NPI 1801283882 (304) 475-3700
Signify Health Medical Associates, PLLC
932 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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.

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 Alley's NPI number?

The NPI number for Katelynn Alley is 1972117752. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Katelynn Alley located?

Katelynn Alley practices at 111 Court St, Charleston, WV 25301. The listed phone number is (877) 868-5351.

What is Katelynn Alley's specialty?

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

Is Katelynn Alley enrolled in Medicare?

Yes. Katelynn Alley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katelynn Alley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelynn Alley reassigns Medicare benefits to 2 organizations: Mingo County Family Wellness Center LLC (Williamson, WV) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelynn Alley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelynn Alley accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Katelynn Alley 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 Katelynn Alley was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.