Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Kisner, PA

Individual provider Physician Assistant · NPI 1811503923

Katie Kisner, PA is a Physician Assistant in Morgantown, West Virginia. Qualified in 2020, 6 years ago. Practices with Grandw Inc, a 90-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1005 White Willow Way
Morgantown, WV 26505-6119
Phone: (304) 460-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 — (304) 598-1200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2395 (WV)

Record details

NPI number1811503923
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 23, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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