Home
Login
Health PAS Online
Registration
Password Reset
Site Requirements
Suggestions
Contact WVMMIS
Documents
FAQ
Forms
Manuals
Newsletters
Pharmacy
Provider Directory
Provider Enrollment
User Guides
WV Medicaid Provider Directory
Provider Type:
AUDIOLOGIST
CASE MANAGER
CERTIFIED DIABETIC EDUCATOR
CERTIFIED REGISTERED NURSE ANESTHETIST
CHIROPRACTOR
DENTIST
DIALYSIS
EMERGENCY TRANSPORTATION
GROUP OF PROVIDERS
HABILITATION PROVIDER
HOME HEALTH AGENCY
HOMEMAKER
HOSPICE
HOSPITAL
HOSPITAL OUTPATIENT SURGERY CENTER
LABORATORY
MENTAL HEALTH CLINIC
MENTAL HEALTH REHABILITATION
MENTAL HEALTH RESIDENTIAL TREATMENT CENTER
MFP TRANSITION COORDINATOR
NATUROPATH
NON-EMERGENCY TRANSPORTATION PROVIDERS
NON-HOSPITAL AFFILIATED CLINIC
OCCUPATIONAL THERAPIST
OPTOMETRIST
PERSONAL CARE ATTENDANT
PHARMACY
PHARMACY RESTRICTED
PHYSICAL THERAPIST
PHYSICIAN
PHYSICIAN ASSISTANT
PODIATRIST
PSYCHIATRIC HOSPITAL
PSYCHOLOGIST
REGISTERED NURSE (PRIVATE NURSE)
REGISTERED NURSE PRACTITIONER
SKILLED NURSING FACILITY
SOCIAL WORKER
SPEECH/HEARING THERAPIST
Or
Provider Specialty:
A0 ACUTE CARE
A1 ADULTS (PSY) MEDICARE
A3 REHAB
A5 CRITICAL ACCESS HOSPITAL
A7 BARIATRIC PROCEDURES
A8 MULTI-SPECIALTY GROUP
AD ADULT NP
B0 PSYCH < 21
B1 PSYCH UNIT
B2 PSYCH RTF
B3 BIRTHING CENTER
B4 SKILLED NURSING FACILITY
B5 NURSING FACILITY
B6 NURSING HOME ICF/MR
B8 MFPTC
B9 HOSPICE NURSING HOME SERVICES
C1 MANAGED CARE
C2 MEDICARE PART A
C3 MEDICARE PART B
C5 PERSONAL CARE A/D AGENCY
C6 BEHAVIORAL HEALTH MANAGED CARE
C8 DIABETES MANAGEMENT
CO COMMUNICATIONS
D0 DENTAL ANESTHESIA
D1 DOMESTIC VIOLENCE
D2 BHHF
D3 340B PHS PROVIDER
D4 SUBOXONE PROVIDER
D5 HOSPICE
E1 PHYSICIAN GROUP
E2 CAH GROUP
E3 NURSE PRACTITIONER
E4 EDUCATION SCHOOL GROUP
E5 NURSE MIDWIFE GROUP
E6 VISION GROUP
E7 DENTAL GROUP
E8 PHARMACY GROUP
E9 PAAS PROVIDER GROUP
EB CHIROPRACTIC GROUP
ED THERAPY GROUP
EF PODIATRY GROUP
EG PSYCHOLOGICAL GROUP
EH IDTF GROUP
F0 EDUCATION SPECIAL ED PROJECT
F1 FAMILY PLANNING
F2 FQHC
F3 GENERAL CLINIC
F4 DIALYSIS
F5 EPSDT-DOH
F7 HOME HEALTH AGENCY
G0 ORTHOTICS
G1 DME
G2 HEARING AIDS
G3 SUPPLIES
G4 ACDS
G5 ORTHOTIC FITTER
G7 MASECTOMY FITTER
G8 OCULARIST
G9 PROSTHETIC
GE GERONTOLOGY
H0 PHYSICIAN ASSISTANT
H2 CLINICAL SOCIAL WORKER
H3 BIRTH TO THREE
H4 CASE MANAGEMENT
H6 MRDD WAIVER
H7 HOMEMAKER
H8 HEALTH DEPARTMENT
H9 OPTOMETRY
J5 OUTPATIENT HOSPITAL
J6 OUTPATIENT REHAB
J7 OUTPATIENT CAH
K1 LABORATORY
K5 GENERAL PRACTICE
K6 CRITICAL CARE
K7 FAMILY PRACTICE
K9 GENETICS
L0 ANESTHESIOLOGY
L1 PROSTHODONTIST
L2 INFECTIOUS DISEASE
L3 NEONATALOGY
L4 NEUROPHYSIOLOGY
L5 COLECTORAL SURGERY
L8 SPORTS MEDICINE
L9 ONCOLOGY
M0 DERMATOLOGY
M1 ALLERGY
M2 PEDIATRIC CARDIOLOGY
M3 EMERGENCY MEDICINE
M4 INTERNAL MEDICINE
M5 HEMATOLOGY
M6 CARDIOLOGY
M7 ENDOCRINOLOGY
M8 NEPHROLOGY
M9 GASTROENTEROLOGY
ME MEDICARE PART D
N0 NEUROSURGERY
N1 NEUROLOGY
N2 RADIATION ONCOLOGY
N3 RHEUMATOLOGY
N4 VASCULAR SURGERY
N5 OBGYN
N6 IMMUNOLOGY
P0 OPHTHALMOLOGY
P1 MEDLEY
P5 ORTHOPEDICS
P6 PODIATRY
P9 PORTABLE XRAY
PE PEDORTHOTIST
PO PERSONAL OPTIONS PROGRAM
Q0 OTOLARYNGOLOGY
Q1 OTORHINOLARYNGOLOGY
Q5 PATHOLOGY
Q6 NUCLEAR MEDICINE
Q7 TBI PERSONAL ATTENDANT
Q8 TBI CASE MANAGEMENT
Q9 TBI COGNITIVE REHAB THERAPY
R0 PEDIATRICS
R1 PHYSIATRY
R2 PLASTIC SURGERY
R3 GERIATRICS
R4 PULMONARY
R5 PSYCHIATRY
R6 RADIOLOGY
R7 GENERAL SURGERY
R8 THORACIC SURGERY
R9 CARDIO SURGERY
RE RESPIRATORY/OXYGEN
RF RFTS
S0 UROLOGY
S1 CHIROPRACTIC
S2 ASC
S3 RHC
S4 HCS
S5 DENTIST
S7 ORTHODONTIST
T0 ORAL SURGERY
T1 PERIODONTIST
T2 PEDIATRIC DENTIST
T3 ENDODONTIST
T5 PHARMACY
T6 HOME IV THERAPY
T7 NON-RETAIL PHARMACY
T8 HOSPITAL PHARMACY
U0 AMBULANCE
U1 AIR AMBULANCE
U2 OTHER TRANSPORTATION
V1 VISION CENTER
V5 SPEECH THERAPY
V6 SCHOOL SPEECH THERAPY
W0 MENTAL HEALTH REHABILIATION
W1 CHILD REHAB IN GROUP HOME
W3 OCCUPATIONAL THERAPY
W4 NURSE MIDWIFE
W5 AUDIOLOGY
W6 PRIVATE DUTY NURSE RN
W7 PRIVATE DUTY NURSE, SCHOOL
W8 PSYCHOLOGIST
W9 SCHOOL PSYCHOLOGIST
WA PHYSICAL THERAPY
WO WOMEN'S HEALTH
X0 MEDICARE ONLY
ZZ 103T00000X Psychologist
ZZ 103TB0200X Psychologist Cognitive & Behavioral
ZZ 103TC1900X Psychologist Counseling
ZZ 103TC2200X Psychologist Clinical Child & Adolescent
ZZ 103TP2700X Psychologist Psychotherapy
ZZ 103TS0200X Psychologist School
ZZ 104100000X Social Worker
ZZ 1041C0700X Social Worker Clinical
ZZ 111N00000X Chiropractor
ZZ 122300000X DENTIST
ZZ 1223E0200X Dentist Endodontics
ZZ 1223G0001X Dentist General Practice
ZZ 1223P0221X Dentist Pediatric Dentistry
ZZ 1223P0300X Dentist Periodontics
ZZ 1223P0700X Dentist Prosthodontics
ZZ 1223S0112X Dentist Oral and Maxillofacial Surgery
ZZ 1223X0400X Dentist Orthodontics and Dentofacial Orthopedi
ZZ 152W00000X Optometrist
ZZ 156FX1700X Technician/Technologist Ocularist
ZZ 163WD0400X Registered Nurse Diabetes Educator
ZZ 163WS0121X Registered Nurse Plastic Surgery
ZZ 163WS0200X Registered Nurse School
ZZ 171M00000X Case Manager/Care Coordinator
ZZ 193200000X GROUP MULTI-SPECIALTY
ZZ 193400000X Single Specialty
ZZ 207K00000X Allergy & Immunology
ZZ 207KA0200X Allergy & Immunology Allergy
ZZ 207KI0005X Allergy & Immunology Clinical & Laboratory Imm
ZZ 207L00000X ANESTHESIOLOGY
ZZ 207N00000X Dermatology
ZZ 207ND0900X Dermatology Dermatopathology
ZZ 207P00000X Emergency Medicine
ZZ 207PE0004X Emergency Medicine Emergency Medical Services
ZZ 207Q00000X Family Medicine
ZZ 207QA0000X Family Medicine Adolescent Medicine
ZZ 207QG0300X Family Medicine Geriatric Medicine
ZZ 207QS0010X Family Medicine Sports Medicine
ZZ 207R00000X Internal Medicine
ZZ 207RA0201X Internal Medicine Allergy & Immunology
ZZ 207RC0000X Internal Medicine Cardiovascular Disease
ZZ 207RC0200X Internal Medicine Critical Care Medicine
ZZ 207RE0101X Internal Medicine Endocrinology, Diabetes & Me
ZZ 207RG0100X Internal Medicine Gastroenterology
ZZ 207RG0300X Internal Medicine Geriatric Medicine
ZZ 207RH0000X Internal Medicine Hematology
ZZ 207RH0002X Internal Medicine Hospice and Palliative Medic
ZZ 207RH0003X Internal Medicine Hematology & Oncology
ZZ 207RI0001X Internal Medicine Clinical & Laboratory Immuno
ZZ 207RI0011X Internal Medicine Interventional Cardiology
ZZ 207RI0200X Internal Medicine Infectious Disease
ZZ 207RN0300X Internal Medicine Nephrology
ZZ 207RP1001X Internal Medicine Pulmonary Disease
ZZ 207RR0500X Internal Medicine Rheumatology
ZZ 207RX0202X Internal Medicine Medical Oncology
ZZ 207SG0201X Medical Genetics Clinical Genetics (M.D.)
ZZ 207SG0202X Medical Genetics Clinical Biochemical Genetics
ZZ 207T00000X Neurological Surgery
ZZ 207U00000X Nuclear Medicine
ZZ 207V00000X Obstetrics & Gynecology
ZZ 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medic
ZZ 207VX0000X Obstetrics & Gynecology Obstetrics
ZZ 207W00000X Ophthalmology
ZZ 207X00000X Orthopaedic Surgery
ZZ 207Y00000X Otolaryngology
ZZ 207YX0602X Otolaryngology Otolaryngic Allergy
ZZ 207ZP0101X Pathology Anatomic Pathology
ZZ 207ZP0102X Pathology Anatomic Pathology & Clinical Pathol
ZZ 207ZP0105X Pathology Clinical Pathology/Laboratory Medici
ZZ 208000000X PEDIATRICS
ZZ 2080N0001X Pediatrics Neonatal-Perinatal Medicine
ZZ 2080P0202X Pediatrics Pediatric Cardiology
ZZ 2080P0204X Pediatrics Pediatric Emergency Medicine
ZZ 2080P0206X Pediatrics Pediatric Gastroenterology
ZZ 2080P0207X Pediatrics Pediatric Hematology-Oncology
ZZ 2080P0208X Pediatrics Pediatric Infectious Diseases
ZZ 2080P0210X Pediatrics Pediatric Nephrology
ZZ 208100000X Physical Medicine & Rehabilitation
ZZ 208200000X Plastic Surgery
ZZ 2084N0400X NEUROLOGY
ZZ 2084N0600X Psychiatry & Neurology Clinical Neurophysiolog
ZZ 2084P0800X PSYCHIATRY
ZZ 2085P0229X Radiology Pediatric Radiology
ZZ 2085R0001X Radiology Radiation Oncology
ZZ 2085R0202X Radiology Diagnostic Radiology
ZZ 2085R0203X Radiology Therapeutic Radiology
ZZ 2085R0205X Radiology Radiological Physics
ZZ 2085U0001X Radiology Diagnostic Ultrasound
ZZ 208600000X Surgery
ZZ 2086S0129X Surgery Vascular Surgery
ZZ 208800000X UROLOGY
ZZ 208C00000X Colon & Rectal Surgery
ZZ 208D00000X GENERAL PRACTICE
ZZ 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surg
ZZ 213E00000X Podiatrist
ZZ 213EP1101X Podiatrist Primary Podiatric Medicine
ZZ 222Z00000X Orthotist
ZZ 225000000X Orthotics/Prosthetics Fitter
ZZ 225100000X Physical Therapist
ZZ 225X00000X Occupational Therapist
ZZ 227800000X Respiratory Therapist, Certified
ZZ 231H00000X Audiologist
ZZ 231HA2500X Audiologist Assistive Technology Supplier
ZZ 235500000X Specialist/Technologist
ZZ 235Z00000X Speech-Language Pathologist
ZZ 251300000X Local Education Agency (LEA)
ZZ 251B00000X Case Management
ZZ 251C00000X Day Training, Developmentally Disabled Service
ZZ 251E00000X Home Health
ZZ 251G00000X Hospice Care, Community Based
ZZ 251J00000X Nursing Care
ZZ 251K00000X Public Health or Welfare
ZZ 251S00000X Community/Behavioral Health
ZZ 261Q00000X Clinic/Center
ZZ 261QA0005X Clinic/Center Ambulatory Family Planning Facil
ZZ 261QA1903X Clinic/Center Ambulatory Surgical
ZZ 261QB0400X Clinic/Center Birthing
ZZ 261QC0050X Clinic/Center Critical Access Hospital
ZZ 261QD0000X Clinic/Center Dental
ZZ 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) T
ZZ 261QF0400X Clinic/Center Federally Qualified Health Cente
ZZ 261QH0100X Clinic/Center Health Service
ZZ 261QM0801X Clinic/Center Mental Health (Including Communi
ZZ 261QP1100X Clinic/Center Podiatric
ZZ 261QR0200X Clinic/Center Radiology
ZZ 261QR1300X Clinic/Center Rural Health
ZZ 273R00000X Psychiatric Unit
ZZ 273Y00000X Rehabilitation Unit
ZZ 276400000X Rehabilitation, Substance Use Disorder Unit
ZZ 282N00000X General Acute Care Hospital
ZZ 282NC0060X General Acute Care Hospital Critical Access
ZZ 283Q00000X Psychiatric Hospital
ZZ 291900000X Military Clinical Medical Laboratory
ZZ 291U00000X CLINICAL MEDICAL LABORATORY
ZZ 302R00000X Health Maintenance Organization
ZZ 313M00000X Nursing Facility/Intermediate Care Facility
ZZ 314000000X Skilled Nursing Facility
ZZ 315D00000X Hospice, Inpatient
ZZ 315P00000X Intermediate Care Facility, Mentally Retarded
ZZ 322D00000X Residential Treatment Facility, Emotionally Di
ZZ 323P00000X Psychiatric Residential Treatment Facility
ZZ 332B00000X Durable Medical Equipment & Medical Supplies
ZZ 332BC3200X DME & Medical Supplies Customized Equipment
ZZ 332BX2000X DME & Medical Supplies Oxygen Equipment & Supp
ZZ 332H00000X Eyewear Supplier (Equipment, not the service)
ZZ 332S00000X Hearing Aid Equipment
ZZ 333600000X Pharmacy
ZZ 3336C0002X Pharmacy Clinic Pharmacy
ZZ 3336C0003X Pharmacy Community/Retail Pharmacy
ZZ 3336H0001X Pharmacy Home Infusion Therapy Pharmacy
ZZ 3336I0012X Pharmacy Institutional Pharmacy
ZZ 3336M0002X Pharmacy Mail Order Pharmacy
ZZ 3336S0011X Pharmacy Specialty Pharmacy
ZZ 335E00000X Prosthetic/Orthotic Supplier
ZZ 335U00000X Organ Procurement Organization
ZZ 335V00000X Portable X-Ray Supplier
ZZ 341600000X Ambulance
ZZ 3416A0800X Ambulance Air Transport
ZZ 3416L0300X Ambulance Land Transport
ZZ 343800000X Secured Medical Transport (VAN)
ZZ 343900000X Non-emergency Medical Transport (VAN)
ZZ 363A00000X Physician Assistant
ZZ 363L00000X Nurse Practitioner
ZZ 363LA2100X Nurse Practitioner Acute Care
ZZ 363LA2200X Nurse Practitioner Adult Health
ZZ 363LF0000X Nurse Practitioner Family
ZZ 363LG0600X Nurse Practitioner Gerontology
ZZ 363LP0200X Nurse Practitioner Pediatrics
ZZ 363LP0808X Nurse Practitioner Psych/Mental Health
ZZ 363LS0200X Nurse Practitioner School
ZZ 363LW0102X Nurse Practitioner Women's Health
ZZ 367500000X Nurse Anesthetist, Certified Registered
ZZ 367A00000X Midwife, Certified Nurse
ZZ 367H00000X Anesthesiologist Assistant
ZZ 3747A0650X Technician Attendant Care Provider
ZZ 3747P1801X Technician Personal Care Attendant
ZZ 376J00000X Homemaker
Organization Name or a Last Name (Optional):
Your browser does not support inline frames.
Registration
