Active NPI
Wendy Michelle Collins, RN
- Homemaker
- Elkins, WV
National Provider Identifier
1154709095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 23117847
- Practice address
- 19 Main St
Elkins, WV 26241-3125 - Phone
- (304) 591-1834
- Fax
- (304) 591-1826
- NPI assigned
- May 12, 2015
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 23117847 | WV | Primary |
Addresses
Primary practice location
19 Main St
Elkins, WV 26241-3125
Mailing address
PO Box 1731
Elkins, WV 26241-1731
Phone (304) 591-1834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700409067 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23117847 | WV | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Care Case Management, LLC | Current | Accepting new patients | |
| WMC Enterprises, Inc. | Current | Accepting new patients | |
| Professional Care Case Management, LLC | Current | Accepting new patients |
Locations
19 Main St
Elkins, WV 26241
Phone (304) 591-1834
Organizations & group practices 3
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.
-
- Case Management Agency
- Elkins, WV
- NPI 1578179149
-
- Case Management Agency
- Elkins, WV
- NPI 1598338659
-
- In Home Supportive Care Agency
- Elkins, WV
- NPI 1700409067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1154709095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1731",
"city": "ELKINS",
"state": "WV",
"postal_code": "262411731",
"telephone_number": "304-591-1834",
"fax_number": "304-591-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MAIN ST",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413125",
"telephone_number": "304-591-1834",
"fax_number": "304-591-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "WENDY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-12",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "WV",
"license": "23117847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700409067",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.