BIG OTTER ELEMENTARY SCHOOL WELLNESS CENTER
NPI 1619103041
Clinic/Center - Federally Qualified Health Center (FQHC) in Duck, WV
About Big Otter Elementary School Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIG OTTER ELEMENTARY SCHOOL WELLNESS CENTER (NPI 1619103041) is a healthcare organization registered as a federally qualified health center (fqhc) in Duck, West Virginia and active in the NPI registry since May 2009. The organization lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Big Otter Elementary School Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Big Otter Elementary School Wellness Center, 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 (20)
Clay, WV 25043
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 1619103041. It was assigned to this organization in the NPPES registry on May 29, 2009. The provider is doing business as Big Otter Elementary School Wellness Center.
Where is Community Care Of West Virginia, Inc. located?
Community Care Of West Virginia, Inc. is located at 59 Ossia Rd, Duck, WV 25063. The listed phone number is (304) 286-2838.
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.
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 January 31, 2027. 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), 20 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 (11), Nurse Practitioner (6) and Clinical Social Worker (1). Of these, 9 practice within 10 miles. 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 March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Big Otter Elementary School Wellness Center · NPI 1619103041
Federally Qualified Health Center (FQHC) organization in Duck, West Virginia. Organization record, active in the CMS NPPES registry since May 29, 2009.
## Identity
- **NPI:** 1619103041 (Entity type: Organization)
- **Enumerated:** May 29, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Care Of West Virginia, Inc.
- **Organization subpart:** Yes (part of Community Care Of West Virginia, Inc.)
- **Authorized official:** Dora Potasnik, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 59 OSSIA RD, Duck, WV 25063-8500
- **Phone:** (304) 286-2838 · **Fax:** (304) 587-2464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, West Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (11), Nurse Practitioner (6), Clinical Social Worker (1); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
- **Other identifiers:** Medicaid 3810017436 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1619103041) · Data from the CMS NPPES public registry.