Individual provider Active NPI

Lynette J Cline, PAC

  • Physician Assistant
  • Morgantown, WV
National Provider Identifier
1093714099
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01177 Issued in WV
Practice address
1300 Fort Pierpont Dr Ste 101
Morgantown, WV 26508
Phone
(304) 241-7150
Fax
(304) 599-8917
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01177 WV Primary

Addresses

Primary practice location

1300 Fort Pierpont Dr Ste 101
Morgantown, WV 26508

Mailing address

1300 Fort Pierpont Dr Ste 101
Morgantown, WV 26508-1314
Phone (304) 241-7150

Other practice location 1

6000 Memorial Church Drive
Morgantown, WV 26501
Phone (304) 292-7316

Other practice location 2

1000 Mon Health Medical Park Dr Ste 1201
Morgantown, WV 26505-1143
Phone (304) 599-9400

Other identifiers 1

IdentifierTypeStateIssuer
3810004490MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinel@direct.monhealthsys.org Health Information Exchange (HIE)

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
I20060307000420 WV Practitioner - Physician Assistant 4880678994 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01177WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince May 20, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 10, 2023 Accepting new patients
Health and Education Building-Urgent Care CurrentSince Jul 10, 2023 Accepting new patients
Washington Physician Services Physician Assistant Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508
Phone (304) 241-7150

1000 Mon Health Medical Park Dr
Ste 1201
Morgantown, WV 26505
Phone (304) 599-9400

6000 Memorial Church Dr
Westover, WV 26501
Phone (304) 292-7316

Interoperability endpoints

  • Direct secure messaging: clinel@direct.monhealthsys.org

Organizations & group practices 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1093714099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FORT PIERPONT DR STE 101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081314",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FORT PIERPONT DR STE 101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Memorial Church Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26501",
            "country_code": "US",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051143",
            "country_code": "US",
            "telephone_number": "304-599-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "LYNETTE",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004490",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinel@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "Mon Health Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 Fort Pierpont Dr Ste 101",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.