Active NPI
Megan Radcliff, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Parkersburg, WV
National Provider Identifier
1053978007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2022140757
- Practice address
- 1512 36TH St
Parkersburg, WV 26104-1942 - Phone
- (304) 944-9346
- Fax
- (304) 944-3054
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 103131 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2022140757 | WV | Primary |
Addresses
Primary practice location
1512 36TH St
Parkersburg, WV 26104-1942
Mailing address
1512 36TH St
Parkersburg, WV 26104-1942
Phone (304) 944-9346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004276177 | Other | WV | BCBS |
| 1053978007 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103131 | WV | MD | Family Nurse Practitioner |
| 2022140757 | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Health LLC | Family | Current | Accepting new patients |
| Hope Hill Mental Wellness Center LLC | Family | Current | Accepting new patients |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Psycare Inc | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1809 DuPont Rd
Ste 1
Parkersburg, WV 26101
Phone (304) 917-3521
1512 36th St
Parkersburg, WV 26104
Phone (304) 893-9251
Interoperability endpoints
- megan.radcliff@389377987444740.direct.elationemr.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parkersburg, WV
- NPI 1679120786
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Parkersburg, WV
- NPI 1982434619
Family
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1053978007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 36TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041942",
"telephone_number": "304-944-9346",
"fax_number": "304-944-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 36TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041942",
"telephone_number": "304-944-9346",
"fax_number": "304-944-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADCLIFF",
"first_name": "MEGAN",
"credential": "FNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "103131",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "2022140757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "004276177",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053978007",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.