This presentation examines primary care providers’ awareness of diabetes distress (DD), perceived barriers and facilitators to DD screening, and how these factors differ by provider experience and role within the West Virginia Practice-Based Research Network. Findings suggest that providers with longer employment duration are more likely to be aware of DD and to routinely screen for it, while early-career providers report greater challenges related to patient engagement and access to resources for managing positive screens. The study also found few differences between physicians and advanced practice professionals, although some variation emerged in perceptions of patient-related barriers and motivation to improve DD management. Results highlight opportunities for targeted education, training, and resource development to support routine DD screening and improve diabetes care in medically underserved communities.