CLARISSA DOLENC FNP-BC
NPI 1770350985
Nurse Practitioner in Glen Dale, WV

Q: What is Clarissa Dolenc's NPI number?

The NPI number for Clarissa Dolenc is 1770350985. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Q: What is Clarissa Dolenc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Dolenc was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 07, 2023PECOS EnrolledAccepts Medicare Assignment

800 WHEELING AVE, GLEN DALE, WV 26038(304) 845-3211 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 24, 2025, Dec 7, 2023 (2 updates tracked since 2023).

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About Clarissa Dolenc Fnp-bc NPPES

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

CLARISSA DOLENC FNP-BC (NPI 1770350985) is an individual nurse practitioner in Glen Dale, West Virginia, licensed in West Virginia (117964) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and maintains a secondary practice location in Glen Dale.

NPPES Registry Identity

NPI1770350985

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCLARISSA DOLENCCredential: FNP-BC

Location Address800 WHEELING AVEGlen Dale, WV 26038-1660

Mailing Address313 5th StGlen Dale, WV 26038-1503

Phone(304) 845-3211

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 7, 2023

Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1770350985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WV · 117964

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

800 WHEELING AVE, Glen Dale, WV 26038

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Secondary Practice Location 1

Location 1313 5th StGlen Dale, WV 26038-1503 · Phone (740) 609-3787

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 and accepts Medicare assignment

Clarissa Dolenc Fnp-bc 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 ID9335660893

PECOS Enrollment IDI20250313000281

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.

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510013

Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County

Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26038 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.

Other Providers at the Same Location NPPES 20

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

DR. CODY BRAXTON LARSEN MD

Emergency Medicine