MS. TAYLOR ERIN D'ETCHEVERRY (PA-C) – Physician Assistant, NPI 1669943890
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for MS. TAYLOR ERIN D'ETCHEVERRY (PA-C)
20560 SOUTHPORT LANDING PL
SMITHFIELD, VA 234308116
Phone: (757) 870-1865
Type: Mailing
20560 Southport Landing Pl
Smithfield, VA 234308116
Phone: (757) 870-1865
Type: Location
1200 J D Anderson Dr
Morgantown, WV 265053494
Phone: (304) 598-1996
Type: Location
600 Gresham Dr Ste 8630B
Norfolk, VA 235071904
Phone: (757) 388-6115
Type: Location
3100 MACCORKLE AVE SE STE 101
CHARLESTON, WV 253041215
Phone: (304) 388-5395
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2023-05-07 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($175).
Total Amount
$175
General + Research + Ownership
Payments
1
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $175 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191114000108 | I | Physician Assistant | WV | TBD |
| I20240314001293 | I | Physician Assistant | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23430)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WV | |
| Nurse Practitioner | WV | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | WV | |
| Family Practice | WV | |
| General Surgery | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| - | WV | |
| Certified Registered Nurse Anesthetist (Crna) | WV | |
| Hospitalist, Family Practice | WV |
Reviews
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