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

Mykaela Davis, PA

Individual provider Physician Assistant · NPI 1558132969

Mykaela Davis, PA is a Physician Assistant in Middlebourne, West Virginia. Qualified in 2022, 4 years ago. Practices with Marietta Memorial Hospital of Tyler County Inc, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Fair St
Middlebourne, WV 26149-9525
Phone: (304) 758-5000
Fax: (304) 758-5022
Show map & directions

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

Additional practice locations (1)

  • 1861 N Pleasants Hwy # 101, Saint Marys, WV 26170-8511 — (681) 612-1022

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2925 (WV)

Record details

NPI number1558132969
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Marietta Memorial Hospital Of Tyler County Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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