TENNERTON ELEMENTARY SCHOOL WELLNESS CENTER
NPI 1811366248
Clinic/Center - Federally Qualified Health Center (FQHC) in Buckhannon, WV

Active since September 16, 2015
167 GAWTHROP RD, BUCKHANNON, WV 26201(304) 473-5690(304) 473-5692 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tennerton Elementary School Wellness Center NPPES

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

TENNERTON ELEMENTARY SCHOOL WELLNESS CENTER (NPI 1811366248) is a healthcare organization registered as a federally qualified health center (fqhc) in Buckhannon, West Virginia and active in the NPI registry since September 2015. The organization maintains a secondary practice location in Bomont and lists Dora L Potasnik, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1811366248
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address167 GAWTHROP RDBuckhannon, WV 26201-3927
Mailing AddressPo Box 217Rock Cave, WV 26234-0217 · (304) 924-6262 · Fax (304) 924-5460
Fax(304) 473-5692
Organization SubpartNo
Authorized OfficialDora L PotasnikCredentialing · (304) 317-7275
Enumeration DateSeptember 16, 2015
Last NPPES UpdateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1811366248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
167 GAWTHROP RD, Buckhannon, WV 26201

Other Names 1

Doing Business AsTennerton Elementary School Wellness Center

Secondary Practice Location 1

Location 1501 Bomont RdBomont, WV 25030-9666 · Phone (304) 548-7101 · Fax (304) 924-5460

Other Identifiers 1

Other2468-5535WV · Wv State Tax Dept

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tennerton Elementary School Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Tennerton Elementary School Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Clinical Social Worker4
Family Practice1
Psychologist Billing Independently1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1861708513
50 BU DR
Buckhannon, WV 26201
(304) 472-8333
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1932625597
37 W MAIN ST
Buckhannon, WV 26201
(304) 473-5600
✔ PECOS✔ Accepts Medicare2.1 mi
Clinical Social Worker
NPI 1851914105
65 PROFESSIONAL PL STE 102
Bridgeport, WV 26330
(304) 848-5770
✔ PECOS26 mi
Clinical Social Worker
NPI 1649539396
65 PROFESSIONAL PL STE 102103
Bridgeport, WV 26330
(304) 848-5770
✔ PECOS26 mi
Nurse Practitioner
NPI 1376972422
266 SKIDMORE LN
Sutton, WV 26601
(304) 765-0351
✔ PECOS✔ Accepts Medicare29 mi
Clinical Social Worker
NPI 1205312329
273 SKIDMORE LN
Sutton, WV 26601
(304) 765-4400
✔ PECOS33 mi
Family Practice
NPI 1528351863
122 CENTER ST
Clay, WV 25043
(304) 587-7301
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1083806277
122 CENTER ST
Clay, WV 25043
(304) 587-7301
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1922634567
122 CENTER ST
Clay, WV 25043
(304) 587-7301
✔ PECOS57 mi
Nurse Practitioner
NPI 1528368248
122 CENTER ST
Clay, WV 25043
(304) 587-7301
✔ PECOS✔ Accepts Medicare57 mi
Clinical Social Worker
NPI 1063960730
122 CENTER ST
Clay, WV 25043
(304) 587-2541
✔ PECOS✔ Accepts Medicare57 mi
Psychologist Billing Independently
NPI 1538517354
1500 CLAY HWY #101
Clay, WV 25043
(304) 549-3188

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 1811366248. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Tennerton Elementary School Wellness Center.

Where is Community Care Of West Virginia, Inc. located?

Community Care Of West Virginia, Inc. is located at 167 Gawthrop Rd, Buckhannon, WV 26201. The listed phone number is (304) 473-5690.

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.

How many clinicians bill Medicare through Community Care Of West Virginia, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 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 Nurse Practitioner (6), Clinical Social Worker (4) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Care Of West Virginia, Inc. accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Community Care Of West Virginia, Inc. 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 Community Care Of West Virginia, Inc. was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.