Healthcare Recruiting
West Virginia PA License 2026: Physician Assistant Requirements, Supervision, and Salary
West Virginia physician assistants must file a supervision agreement with the West Virginia Board of Medicine before practicing. Processing takes 8–10 weeks. WVU Medicine (Morgantown) and CAMC Health System (Charleston) anchor the two primary PA employment markets, with Cabell Huntington and Marshall Health serving the Tri-State area. West Virginia's persistent rural primary care shortages make it one of the most NHSC-eligible states in the nation.
Practice Model: Supervision Required
- Written supervision agreement required — filed with and approved by WVBOM
- Supervising physician must be licensed in West Virginia
- PA may prescribe Schedule II–V controlled substances with DEA registration and approved agreement
- WV has one of the highest HPSA-eligible population percentages nationally — strong loan repayment availability
Application Requirements
- Active NCCPA certification
- Accredited PA program graduation verification
- Supervision agreement filed and approved
- Background check via WVBOM
- Application fee ~$200
Processing Timeline
8–10 weeks typical; supervision agreement review may add 2 weeks. Total with DEA approximately 10 weeks.
PA Salary in West Virginia (2026)
| Setting | Median Base | Typical Sign-On |
|---|---|---|
| Hospital / Inpatient (Morgantown) | $112,000 | $8,000–$15,000 |
| Hospital / Inpatient (Charleston / Huntington) | $108,000 | $6,000–$14,000 |
| Surgical First-Assist | $122,000 | $8,000–$18,000 |
| Primary Care / FQHC (rural HPSA) | $105,000 | $5,000–$12,000 + loan repayment |
Top PA Employers in West Virginia
WVU Medicine (Morgantown academic flagship — J.W. Ruby Memorial, 10 statewide hospitals), CAMC Health System (Charleston — General, Memorial, Women and Children's), Cabell Huntington Hospital / Marshall Health (Huntington Tri-State), and Mon Health System (Monongalia County) are the primary systems. Community health centers and rural health clinics throughout southern WV carry strong NHSC loan repayment eligibility.
What We See at Ava Health
West Virginia's lower absolute salaries are offset by very low cost of living and among the highest NHSC loan repayment concentrations in the country. For a new PA graduate with $100K+ in school debt, WV rural positions with $50K NHSC repayment plus service incentives often beat higher-salary urban positions on net 5-year wealth accumulation.
Related: NP License West Virginia 2026, PA Salary by State 2026, Healthcare Recruiting in West Virginia 2026.
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