Active NPI
Lynette J Cline, PAC
- Physician Assistant
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004490 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01177 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongalia County General Hospital Company | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Health and Education Building-Urgent Care | Current | 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
- 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.
-
- Specialist
- Morgantown, WV
- NPI 1447673223
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1942612197
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.