Individual provider Active NPI

Emily Sue Manecke, NP-C

  • Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1245811553
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
107638 Issued in WV
Practice address
1322 Pineview Dr
Morgantown, WV 26505-0710
Phone
(304) 598-3100
Fax
(304) 598-8301
NPI assigned
Apr 19, 2021
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 107638 WV Primary

Addresses

Primary practice location

1322 Pineview Dr
Morgantown, WV 26505-0710

Mailing address

94 Antietam Dr
Morgantown, WV 26508-9005
Phone (724) 541-4644

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
I20210618002017 WV Practitioner - Nurse Practitioner 4880094481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Comfort Dr
Reedsville, WV 26547-0359
Phone (304) 864-0006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107638WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 20, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 20, 2024 Accepting new patients

Locations

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

1322 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-3100

6040 University Town Centre Dr
Morgantown, WV 26501

608 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1313

14 Comfort Dr
Reedsville, WV 26547
Phone (304) 864-0006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1245811553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ANTIETAM DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089005",
            "telephone_number": "724-541-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050710",
            "telephone_number": "304-598-3100",
            "fax_number": "304-598-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANECKE",
        "first_name": "EMILY",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "107638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.