COMMUNITY CARE OF WEST VIRGINIA, INC.
NPI 1164809802
Clinic/Center - Federally Qualified Health Center (FQHC) in Clarksburg, WV
About Community Care Of West Virginia, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY CARE OF WEST VIRGINIA, INC. (NPI 1164809802), doing business as Mountaineer Elementary School Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Clarksburg, West Virginia and active in the NPI registry since May 2015. The organization lists Dora L Potasnik, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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 West Virginia, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Community Care Of West Virginia, Inc., which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
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 1164809802. It was assigned to this organization in the NPPES registry on May 1, 2015. The provider is doing business as Mountaineer Elementary School Wellness Center.
Where is Community Care Of West Virginia, Inc. located?
Community Care Of West Virginia, Inc. is located at 2 Mountaineer Dr, Clarksburg, WV 26301. The listed phone number is (304) 326-7620.
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), 12 clinicians in 5 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 Family Practice (4), Clinical Social Worker (3) and Nurse Practitioner (3). Of these, 9 practice 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 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 August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Community Care Of West Virginia, Inc. · NPI 1164809802
Federally Qualified Health Center (FQHC) organization in Clarksburg, West Virginia. Organization record, active in the CMS NPPES registry since May 1, 2015.
## Identity
- **NPI:** 1164809802 (Entity type: Organization)
- **Enumerated:** May 1, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Mountaineer Elementary School Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dora Potasnik, CREDENTIALING
## Practice location
- **Address:** 2 MOUNTAINEER DR, Clarksburg, WV 26301-5511
- **Phone:** (304) 326-7620 · **Fax:** (304) 924-5460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Clinical Social Worker (3), Nurse Practitioner (3); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2025
- **Other identifiers:** Other 2306-9245 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1164809802) · Data from the CMS NPPES public registry.