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MOUNTAIN STATE WELLNESS, PLLC
NPI 1023348448
Chiropractor in Morgantown, WV

Active since January 07, 2010
965 HARTMAN RUN RD, SUITE 1101, MORGANTOWN, WV 26505(304) 292-7740 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain State Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN STATE WELLNESS, PLLC (NPI 1023348448) is a healthcare organization registered as a chiropractor in Morgantown, West Virginia and active in the NPI registry since January 2010. The organization lists Lucas C Watterson, Member/direct Owner, as its authorized official.

NPPES Registry Identity

NPI1023348448
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMOUNTAIN STATE WELLNESS, PLLC
Location Address965 HARTMAN RUN RD, SUITE 1101Morgantown, WV 26505-7700
Mailing Address965 Hartman Run Rd, Suite 1101Morgantown, WV 26505-7700 · (304) 292-7740
Phone(304) 292-7740
Organization SubpartNo
Authorized OfficialLucas C WattersonMember/direct Owner · (304) 292-7740
Enumeration DateJanuary 7, 2010
✔ NPI 1023348448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
965 HARTMAN RUN RD, Morgantown, WV 26505
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Other Identifiers 2

Medicare PIN4082911WV
Medicare PIN4082901WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain State Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain State Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Amy Watterson, DC
Chiropractic
NPI 1588618227
965 HARTMAN RUN RD SUITE 1101
Morgantown, WV 26505
(304) 292-7740
1.1 mi
Lucas Watterson, DC
Chiropractic
NPI 1437103603
965 HARTMAN RUN RD SUITE 1101
Morgantown, WV 26505
(304) 292-7740
1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain State Wellness, PLLC's NPI number?

The NPI number for Mountain State Wellness, PLLC is 1023348448. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is Mountain State Wellness, PLLC located?

Mountain State Wellness, PLLC is located at 965 Hartman Run Rd Suite 1101, Morgantown, WV 26505. The listed phone number is (304) 292-7740.

What is Mountain State Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mountain State Wellness, PLLC enrolled in Medicare?

Yes. Mountain State Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain State Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Mountain State Wellness, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain State Wellness, PLLC was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.