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MARY ELIZABETH WICKLINE PA-C
NPI 1285162693
Physician Assistant in Lindside, WV

Active since May 30, 2017PECOS Enrolled
142 JAMES MONROE DR, LINDSIDE, WV 24951(304) 753-5940(304) 753-5941 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, May 30, 2017 (2 updates tracked since 2017).

About Mary Elizabeth Wickline Pa-c NPPES

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

MARY ELIZABETH WICKLINE PA-C (NPI 1285162693) is an individual physician assistant in Lindside, West Virginia and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Union.

NPPES Registry Identity

NPI1285162693
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ELIZABETH WICKLINECredential: PA-C
Location Address142 JAMES MONROE DRLindside, WV 24951-7168
Mailing AddressPo Box 590Union, WV 24983-0590 · (304) 772-3064 · Fax (304) 772-3296
Phone(304) 753-5940
Fax(304) 753-5941
Sole ProprietorNo
Enumeration DateMay 30, 2017
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1285162693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
142 JAMES MONROE DR, Lindside, WV 24951
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Secondary Practice Location 1

Location 1PO Box 590Union, WV 24983-0590 · Phone (304) 772-3064 · Fax (304) 772-3296

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Wickline Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24951 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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

SIERRA L ROBERTSON RN
Registered Nurse (School)
142 JAMES MONROE DR
LINDSIDE, WV 24951
Monroe County (304) 753-5182
KENT PATRICK LPC
Counselor (Mental Health)
142 JAMES MONROE DR
LINDSIDE, WV 24951
Monroe County (304) 772-3064
MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES
Clinic/Center (Federally Qualified Health Center (FQHC))
142 JAMES MONROE DR
LINDSIDE, WV 24951
Monroe County (304) 753-5940

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 Mary Wickline's NPI number?

The NPI number for Mary Wickline is 1285162693. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Mary Wickline located?

Mary Wickline practices at 142 James Monroe Dr, Lindside, WV 24951. The listed phone number is (304) 753-5940.

What is Mary Wickline's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Wickline enrolled in Medicare?

Yes. Mary Wickline is registered in the Medicare PECOS enrollment system.

What insurance does Mary Wickline accept?

Health plans from CareSource list Mary Wickline 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 Mary Wickline was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.