PRINCETON COMMUNITY HOSPITAL ASSN INC.
NPI 1093917643
Urology in Princeton, WV

Active since June 05, 2007CLIA 51D1088454 · Waiver
118 12TH STREET, PRINCETON, WV 24740(304) 487-7936(304) 487-7835 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2023, Dec 13, 2022, Mar 31, 2017 (3 updates tracked since 2017).

About Princeton Community Hospital Assn Inc. NPPES

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

PRINCETON COMMUNITY HOSPITAL ASSN INC. (NPI 1093917643), doing business as Mercer Medical Group, is a healthcare organization registered as an urology in Princeton, West Virginia and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Diane Lynn Spencer, Vp Of Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1093917643
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePRINCETON COMMUNITY HOSPITAL ASSN INC.
Location Address118 12TH STREETPrinceton, WV 24740
Mailing Address118 12th StreetPrinceton, WV 24740 · (304) 487-7936 · Fax (304) 487-7835
Fax(304) 487-7835
Organization SubpartNo
Authorized OfficialDiane Lynn SpencerVp Of Finance/cfo · (304) 487-7505
Enumeration DateJune 5, 2007
Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1093917643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WV · 10308
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
118 12TH STREET, Princeton, WV 24740

Other Names 1

Doing Business AsMercer Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Princeton Community Hospital Assn Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

280

Medicare enrollment records show 280 clinicians reassign Medicare billing to Princeton Community Hospital Assn Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Nurse Practitioner67
Emergency Medicine40
Internal Medicine25
Hospitalist24
Neurology20
Cardiovascular Disease (Cardiology)13
Family Practice10
Interventional Cardiology10
23 other specialties71

Nearest to this location (20)

See all 280
Nurse Practitioner
NPI 1043628654
118 12TH STREET EXT
Princeton, WV 24740
(304) 487-7936
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487718672
118 12TH STREET EXT
Princeton, WV 24740
(304) 487-7936
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629365614
118 12TH STREET EXT
Princeton, WV 24740
(304) 487-7936
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1457380149
112 12TH ST
Princeton, WV 24740
(304) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1801327879
112 12TH ST
Princeton, WV 24740
(304) 487-7000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780649889
407 12TH STREET EXT
Princeton, WV 24740
(304) 487-0232
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1043256282
122 12TH ST
Princeton, WV 24740
(304) 487-7726
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1518177328
122 12TH ST
Princeton, WV 24740
(304) 487-7726
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1356527311
122 12TH ST
Princeton, WV 24740
(304) 487-7726
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1598708307
122 12TH ST
Princeton, WV 24740
(304) 487-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1992923783
122 12TH STREET EXT
Princeton, WV 24740
(304) 487-7726
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1447608096
122 12TH ST
Princeton, WV 24740
(304) 487-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1184803330
122 12TH ST
Princeton, WV 24740
(304) 425-7127
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1295398550
122 12TH ST
Princeton, WV 24740
(304) 487-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1437992781
122 12TH ST
Princeton, WV 24740
(304) 487-7639
0.1 mi
Otolaryngology
NPI 1205197407
122 12TH ST STE A
Princeton, WV 24740
(304) 487-3407
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1326049586
122 12TH ST
Princeton, WV 24740
(304) 487-7349
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982046108
109 MORRISON DR
Princeton, WV 24740
(304) 487-3559
✔ Accepts Medicare0.2 mi
Neurology
NPI 1063904316
508 NEW HOPE RD STE 7
Princeton, WV 24740
(304) 431-7200
✔ PECOS✔ Accepts Medicare0.3 mi
Pulmonary Disease
NPI 1649251125
508 NEW HOPE RD STE 7
Princeton, WV 24740
(304) 431-7200
✔ PECOS✔ Accepts Medicare0.3 mi
See all 280 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1088454

Princeton Community Hospital Association Dba Princeton Community Hospital Primary Care · Princeton, WV
Active · expires Oct 22, 2027
CLIA Number51D1088454
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Shayna Tomchin
Laboratory Phone(304) 487-7936
Laboratory LocationPrinceton Community Hospital Association Dba Princeton Community Hospital Primary Care118 12th Street, Princeton, WV 24740
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Princeton Community Hospital Assn Inc.'s NPI number?

The NPI number for Princeton Community Hospital Assn Inc. is 1093917643. It was assigned to this organization in the NPPES registry on June 5, 2007. The provider is doing business as Mercer Medical Group.

Where is Princeton Community Hospital Assn Inc. located?

Princeton Community Hospital Assn Inc. is located at 118 12th Street, Princeton, WV 24740. The listed phone number is (304) 487-7936.

What is Princeton Community Hospital Assn Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Princeton Community Hospital Assn Inc. enrolled in Medicare?

Yes. Princeton Community Hospital Assn Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Princeton Community Hospital Assn Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 280 clinicians in 31 Medicare specialties reassign their Medicare billing to Princeton Community Hospital Assn 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 (67), Emergency Medicine (40) and Internal Medicine (25). Of these, 6 practice at this address and 62 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Princeton Community Hospital Assn Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1088454) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Princeton Community Hospital Assn Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Princeton Community Hospital Assn 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 Princeton Community Hospital Assn Inc. was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.