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SIDNEY JEROME CLINE APRN
NPI 1255748166
Nurse Practitioner - Family in Logan, WV

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
122 NICK SAVAS DR, LOGAN, WV 25601(304) 752-8081(304) 752-8083 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sidney Jerome Cline Aprn NPPES

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

SIDNEY JEROME CLINE APRN (NPI 1255748166) is an individual family provider in Logan, West Virginia, licensed in West Virginia (APRN75819NP) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Tug Valley Arh Regional Medical Center, and maintains a secondary practice location in Williamson.

NPPES Registry Identity

NPI1255748166
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSIDNEY JEROME CLINECredential: APRN
Location Address122 NICK SAVAS DRLogan, WV 25601-3468
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5804
Phone(304) 752-8081
Fax(304) 752-8083
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 14, 2014
Last NPPES UpdateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1255748166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN75819NP
122 NICK SAVAS DR, Logan, WV 25601
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Other Names 1

Other Name (5)Jerome Cline Aprn

Secondary Practice Location 1

Location 1184 E 2nd Ave, Ste 210Williamson, WV 25661-3602 · Phone (304) 236-5902 · Fax (304) 235-4049

Other Identifiers 1

OtherAPRN75819NPWV · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sidney Jerome Cline Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244554368
PECOS Enrollment IDI20150121000732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims126 services$11.19 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims69 services$278.52 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims69 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims69 services$24.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers12 claims12 services$167.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN L. CODISPOTI FNP-BC
Nurse Practitioner (Family)
122 NICK SAVAS DR
LOGAN, WV 25601
Logan County (304) 752-8081
MRS. RIKKI LYNN EVANS FNP-C
Nurse Practitioner (Family)
122 NICK SAVAS DR
LOGAN, WV 25601
Logan County (304) 752-8081
TIMOTHY DESKINS PA-C
Physician Assistant
122 NICK SAVAS DR
LOGAN, WV 25601
Logan County (304) 752-8081
RAFAEL MODESTO RODIGHIERO PA-C
Physician Assistant (Medical)
122 NICK SAVAS DR
LOGAN, WV 25601
Logan County (304) 752-8081

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 Sidney Cline's NPI number?

The NPI number for Sidney Cline is 1255748166. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Jerome Cline Aprn.

Where is Sidney Cline located?

Sidney Cline practices at 122 Nick Savas Dr, Logan, WV 25601. The listed phone number is (304) 752-8081.

What is Sidney Cline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sidney Cline enrolled in Medicare?

Yes. Sidney Cline is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sidney Cline accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Sidney Cline 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.

Is Sidney Cline affiliated with any hospitals?

According to CMS data, Sidney Cline is affiliated with Tug Valley Arh Regional Medical Center and Logan Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sidney Cline was last updated on July 2, 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.