KRISTINA STOVER PA-C
NPI 1568761211
Physician Assistant in Madison, WV
NPI Status: Active since March 21, 2011
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About KRISTINA STOVER
This page provides the complete NPI Profile along with additional information for Kristina Stover, a primary care provider established in Madison, West Virginia with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1568761211 assigned on March 2011. The practitioner's primary taxonomy code is 363A00000X with license number 560 (WV). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1568761211
- Provider Name
- KRISTINA STOVER PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 MADISON AVE MADISON, WV 25130
- Location Phone
- (304) 369-1230
- Mailing Address
- 701 MADISON AVE MADISON, WV 25130
- Mailing Phone
- (304) 617-5067
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-21-2011
- Last Update Date
- 03-02-2012
- Code Navigator
A primary care provider (PCP) like Kristina Stover sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 560
- License State
- WV
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kristina Stover is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 25130 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.49
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $20.87
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.84
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $16.71
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for KRISTINA STOVER PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 7 | 6 | 1 | 2 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 14 | 6 | 2 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 4 + 6 + 2 + 2 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1568761211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265412472 | MR. JAMES KENTON WALKER DO Individual | Family Medicine | 701 MADISON AVE MADISON, WV 25130 (304) 369-4250 |
| 1275596777 | BOONE MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1336199157 | BOONE MEMORIAL HOSPITAL Organization | Home Health | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1326140252 | MRS. BLITZ ELAINE TURNER APRN-BC Individual | Nurse Practitioner (Family) | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1235231192 | JOHN D. COOK DO Individual | Family Medicine | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1720172760 | DR. ZIAD AMIN CHANAA Individual | Internal Medicine | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1609936574 | DR. WALTER EVERETT DIAL MD Individual | Clinic/Center (Medical Specialty) | 701 MADISON AVE MADISON, WV 25130 (304) 307-6070 |
| 1184768392 | BRANDY LOU VANNATTER DO Individual | Family Medicine | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1003136524 | MGF GROUP CORP Organization | Ophthalmology | 701 MADISON AVE MADISON, WV 25130 (888) 494-8882 |
| 1023427283 | KELLI CANTERBURY FNP-BC Individual | Nurse Practitioner (Family) | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1184091399 | ROBERT LEE FOSTER JR. RPH Individual | Pharmacist | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1346763786 | MR. JACKSON B AUSTIN PA-C Individual | Physician Assistant | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1154844249 | HEATHER KAY LEGG PA-C Individual | Physician Assistant | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1265927750 | MRS. MELISSA ANN PRICE FNP-BC Individual | Nurse Practitioner (Family) | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1467013243 | KERRI ANNE SPRY-LAMBERT NP Individual | Nurse Practitioner | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1750501995 | BOONE MEMORIAL HOSPITAL HOME CARE (HMKR) Organization | Home Health | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1710456561 | CASEY SHANNON HATFIELD PA-C Individual | Physician Assistant | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1740224476 | DR. CHRISTOPHER P FLANAGAN D.O. Individual | Family Medicine | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1700176492 | HOLLY ANNA HILL-REINERT DO Individual | Internal Medicine | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
| 1770250516 | CRYSTAL LEIGH GILLISPIE FNP Individual | Nurse Practitioner (Family) | 701 MADISON AVE MADISON, WV 25130 (304) 369-1230 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568761211, enumerated in the NPI registry as an "individual" on March 21, 2011
The provider is located at 701 Madison Ave Madison, Wv 25130 and the phone number is (304) 369-1230
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.49 with an average copayment of $20.87 for new patient appointments. Established patients should expect a typical charge of $66.84 and an average copayment of 16.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 21, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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