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BURNSVILLE ELEMENTARY SCHOOL WELLNESS CENTER
NPI 1871003178
Clinic/Center - Federally Qualified Health Center (FQHC) in Burnsville, WV

Active since October 02, 2017
228 KANAWHA AVENUE, BURNSVILLE, WV 26335(304) 924-6262(304) 924-5460 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Burnsville Elementary School Wellness Center NPPES

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

BURNSVILLE ELEMENTARY SCHOOL WELLNESS CENTER (NPI 1871003178) is a healthcare organization registered as a federally qualified health center (fqhc) in Burnsville, West Virginia and active in the NPI registry since October 2017. The organization lists Dora L Potasnik, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1871003178
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY CARE OF WEST VIRGINIA, INC.
Location Address228 KANAWHA AVENUEBurnsville, WV 26335
Mailing AddressPo Box 147Clay, WV 25043-0147 · (304) 587-2541 · Fax (304) 587-2594
Phone(304) 924-6262
Fax(304) 924-5460
Organization SubpartYes
Authorized OfficialDora L PotasnikCredentialing Coordinator · (304) 587-2541
Enumeration DateOctober 2, 2017
✔ NPI 1871003178 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
228 KANAWHA AVENUE, Burnsville, WV 26335
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Other Names 1

Doing Business AsBurnsville Elementary School Wellness Center

Accepted Insurance

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

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Burnsville Elementary School Wellness Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Stephanie Jackson, APRN, FNP-BC
Nurse Practitioner
NPI 1376972422
266 SKIDMORE LN
Sutton, WV 26601
(304) 765-0351
✔ PECOS✔ Accepts Medicare11 mi
Betsy Coulter, LICSW
Clinical Social Worker
NPI 1205312329
273 SKIDMORE LN
Sutton, WV 26601
(304) 765-4400
✔ PECOS14 mi
Heather Radcliffe, LICSW ACSW
Clinical Social Worker
NPI 1649539396
65 PROFESSIONAL PL STE 102103
Bridgeport, WV 26330
(304) 848-5770
✔ PECOS40 mi

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 1871003178. It was assigned to this organization in the NPPES registry on October 2, 2017. The provider is doing business as Burnsville Elementary School Wellness Center.

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

Community Care Of West Virginia, Inc. is located at 228 Kanawha Avenue, Burnsville, WV 26335. The listed phone number is (304) 924-6262.

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), 3 clinicians reassign their Medicare billing to Community Care Of West Virginia, Inc., in Clinical Social Worker and Nurse Practitioner. 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. 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 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 October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.