MOUNTAINEER HOME MEDICAL, LLC
NPI 1760474852
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Morgantown, WV

Q: What is Mountaineer Home Medical, LLC's NPI number?

The NPI number for Mountaineer Home Medical, LLC is 1760474852. It was assigned to this organization in the NPPES registry on August 16, 2005.

Q: What is Mountaineer Home Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Active since August 16, 2005

5000 GREENBAG ROAD, SUITE F6, MORGANTOWN, WV 26501(304) 225-6290(304) 225-1115 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2026, May 1, 2026, May 19, 2022 and 3 more (6 updates tracked since 2019).

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About Mountaineer Home Medical, Llc NPPES

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

MOUNTAINEER HOME MEDICAL, LLC (NPI 1760474852) is a healthcare organization registered as an oxygen equipment & supplies in Morgantown, West Virginia and active in the NPI registry since August 2005. The organization lists Michelle L Jackson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1760474852

Entity TypeOrganization

Primary Taxonomy332BX2000X

Legal Business NameMOUNTAINEER HOME MEDICAL, LLC

Location Address5000 GREENBAG ROAD, SUITE F6Morgantown, WV 26501

Mailing Address5000 Greenbag Rd Ste F6Morgantown, WV 26501-7123 · (304) 225-6290 · Fax (304) 225-1115

Phone(304) 225-6290

Fax(304) 225-1115

Organization SubpartNo

Authorized OfficialMichelle L JacksonBilling Manager · (304) 225-6290

Enumeration DateAugust 16, 2005

Last NPPES UpdateJuly 22, 20266 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1760474852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers

Taxonomy Code332BX2000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License CONTROLNUMBER72117 (WV), 770649 (WV)

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

5000 GREENBAG ROAD, Morgantown, WV 26501

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Other Identifiers 5

Other001704877WV · Blue Cross Blue Shield

OtherDME315WV · Health Plan Provider #

Medicaid3810001835WV

Medicaid407251100MD

Medicaid101294177 0001PA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountaineer Home Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date

StateWest VirginiaEnrollment IDO20100930020756DME · Medical Supply Company with Respiratory TherapistDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Mountaineer Home Medical LLC carries, from the Medicare DMEPOS supplier directory.

Mountaineer Home Medical LLC

DMEPOS supplier · Morgantown, WV

⋮

Does not accept Medicare assignment

Mountaineer Home Medical LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20581949

Medicare Participant SinceJanuary 20, 2005

Supplier Location5000 Greenbag Rd Ste F6Morgantown, WV 26501

Phone(304) 225-6290

Provider TypeOxygen & Equipment

Supplier Specialties

Medical Supply Company Other MSC With Respiratory Therapist

Medicare Product Categories

Automatic Ext Defibrillator (AEDS) and/or Supplies

Home defibrillators, Wearable defibrillators, Replacement batteries, Replacement electrodes

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Tracheotomy Supplies

Tracheostomy care kits

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

High Freq Chest Wall Oscillation Devices/Supplies

Generator system, Vest, Hoses

Intrapulmonary Percussive Ventilation Devices

Intrapulmonary percussive ventilation compressor, hand held units, tubing

Mechanical In-Exsufflation Devices

Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Ventilators Accessories and/or Supplies

Volume control ventilator, Pressure support ventilator

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Mountaineer Home Medical, LLC's NPI number?

The NPI number for Mountaineer Home Medical, LLC is 1760474852. It was assigned to this organization in the NPPES registry on August 16, 2005.

Where is Mountaineer Home Medical, LLC located?

Mountaineer Home Medical, LLC is located at 5000 Greenbag Road Suite F6, Morgantown, WV 26501. The listed phone number is (304) 225-6290.

What is Mountaineer Home Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Is Mountaineer Home Medical, LLC enrolled in Medicare?

Yes. Mountaineer Home Medical, LLC is registered in the Medicare PECOS enrollment system.

When is Mountaineer Home Medical, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (West Virginia, Medical Supply Company with Respiratory Therapist) is due for revalidation by November 30, 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.

Does Mountaineer Home Medical, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mountaineer Home Medical LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Mountaineer Home Medical, LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mountaineer Home Medical, LLC 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 Mountaineer Home Medical, LLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.