Jessica Wickline, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2634 Issued in WV

Practice address

1709 Harper Rd
Beckley, WV 25801-3311

Phone

(304) 256-3027

NPI assigned

Aug 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Care Plus, Incorporated Home health agency, Lewisburg, WV, CCN 517051
• Adoration Home Health Home health agency, Charleston, WV, CCN 517115
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
• Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hico, WV
  • NPI 1952815268
  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rainelle, WV
  • NPI 1437227766
  NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001
  NPD
• Rainelle Medical Center, Inc

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys West Virginia, L.L.C.

  • Home Health Agency
  • Charleston, WV
  • NPI 1700834553
  Care Compare affiliation
• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• Home Care Plus, Inc.

  • Home Health Agency
  • Lewisburg, WV
  • NPI 1457343451
  Care Compare affiliation
• Columbia-Alleghany Regional Hospital Inc

  • Psychiatric Hospital Unit
  • Low Moor, VA
  • NPI 1285932962
  Care Compare affiliation
• Columbia-Alleghany Regional Hospital Inc

  • General Acute Care Hospital
  • Low Moor, VA
  • NPI 1538100029
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1235418005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 KYLE BEARD RD",
            "city": "HILLSBORO",
            "state": "WV",
            "postal_code": "249468524",
            "telephone_number": "304-646-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013311",
            "telephone_number": "304-256-3027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249701361",
            "country_code": "US",
            "telephone_number": "304-647-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKLINE",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "ED0221A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Louise Whitt, COTA/L
• Bethany C Whittington
• Crystal Elaine Whittington, MA
• Brian R Whyte, M.D.,
• Haley Rae Wickline
• Annabelle Wilburn
• Allison Michelle Wilcox, RN
• Elizabeth Yvonne Wilcox, L.M.T.
• Caitlyn Willett
• Aaliyah Williams

• Family Medicine Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.