COMMUNITY CARE OF BRIDGEPORT
NPI 1144811290
Community/Behavioral Health 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 1144811290) is a healthcare organization registered as a community/behavioral health in Bridgeport, West Virginia and active in the NPI registry since February 2021. The organization maintains 15 additional practice locations and lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 15
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Community Care Of Bridgeport, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 1144811290. It was assigned to this organization in the NPPES registry on February 1, 2021. 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 65 Professional Pl Ste 101, 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 Community/Behavioral Health with taxonomy code 251S00000X.
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.
When is Community Care Of West Virginia, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (West Virginia, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Community Care Of West Virginia, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Community Care Of West Virginia, Inc., in Clinical Psychologist, Clinical Social Worker and Psychiatry. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Community Care Of West Virginia, Inc. was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 1144811290
Community/Behavioral Health organization in Bridgeport, West Virginia. Organization record, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1144811290 (Entity type: Organization)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Community Care Of West Virginia, Inc.
- **Organization subpart:** No
- **Authorized official:** Dora Potasnik, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 65 PROFESSIONAL PL STE 101, Bridgeport, WV 26330-1889
- **Phone:** (304) 848-5770 · **Fax:** (304) 848-0890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, West Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (2), Clinical Psychologist (1), Psychiatry (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2021
- **Other identifiers:** Other 516 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1144811290) · Data from the CMS NPPES public registry.