COMMUNITY CARE OF BRIDGEPORT
NPI 1063808418
Clinic/Center - Federally Qualified Health Center (FQHC) in Bridgeport, WV
About Community Care Of Bridgeport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY CARE OF BRIDGEPORT (NPI 1063808418) is a healthcare organization registered as a federally qualified health center (fqhc) in Bridgeport, West Virginia and active in the NPI registry since April 2015. The organization maintains a secondary practice location in Stonewood and lists Dora L Potasnik, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Care Of Bridgeport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Community Care Of Bridgeport, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 48Bridgeport, WV 26330
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 Community Care Of West Virginia, Inc.'s NPI number?
The NPI number for Community Care Of West Virginia, Inc. is 1063808418. It was assigned to this organization in the NPPES registry on April 13, 2015. The provider is doing business as Community Care Of Bridgeport.
Where is Community Care Of West Virginia, Inc. located?
Community Care Of West Virginia, Inc. is located at 100 Market Pl, Bridgeport, WV 26330. The listed phone number is (304) 848-5770.
What is Community Care Of West Virginia, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Community Care Of West Virginia, Inc. enrolled in Medicare?
Yes. Community Care Of West Virginia, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Care Of West Virginia, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 7 Medicare specialties reassign their Medicare billing to Community Care Of West Virginia, Inc.. 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. The largest specialties are Nurse Practitioner (12), Clinical Social Worker (11) and Family Practice (9). Of these, 2 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Care Of West Virginia, Inc. accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Community Care Of West Virginia, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Community Care Of West Virginia, Inc. was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Community Care Of Bridgeport · NPI 1063808418
Federally Qualified Health Center (FQHC) organization in Bridgeport, West Virginia. Organization record, active in the CMS NPPES registry since April 13, 2015.
## Identity
- **NPI:** 1063808418 (Entity type: Organization)
- **Enumerated:** April 13, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Care Of West Virginia, Inc.
- **Organization subpart:** No
- **Authorized official:** Dora Potasnik, CREDENTIALING
## Practice location
- **Address:** 100 MARKET PL, Bridgeport, WV 26330-9168
- **Phone:** (304) 848-5770 · **Fax:** (304) 848-0890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Clinical Social Worker (11), Family Practice (9); 2 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1063808418/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063808418) · Data from the CMS NPPES public registry.