Individual provider Active NPI

Megan Radcliff, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1053978007
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022140757 Issued in WV
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

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004276177OtherWVBCBS
1053978007MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002612 WV Practitioner - Nurse Practitioner 3870822125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
103131WVMDFamily Nurse Practitioner
2022140757WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Health LLC Family CurrentSince Oct 13, 2024 Accepting new patients
Hope Hill Mental Wellness Center LLC Family CurrentSince Mar 15, 2021 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Psycare Inc Psychiatric/Mental Health PastSince Mar 15, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.