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

MS. Taylor Erin D'Etcheverry, PA-C

Individual provider Surgical Critical Care Physician · NPI 1669943890

MS. Taylor Erin D'Etcheverry, PA-C is a Physician Assistant in Charleston, West Virginia. Qualified in 2019, 7 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia and West Virginia.

Years since qualifying
7
Licensed in
VA, WV
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215
Phone: (304) 388-5395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 600 Gresham Dr Ste 8630b, Norfolk, VA 23507-1904 — (757) 388-6115
  • 20560 Southport Landing Pl, Smithfield, VA 23430-8116 — (757) 870-1865
  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 — (304) 598-1996

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009282 (VA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2268 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669943890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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