Sidney Jerome Cline, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN75819NP Issued in WV

Practice address

122 Nick Savas Dr
Logan, WV 25601-3468

Phone

(304) 752-8081

Fax

(304) 752-8083

NPI assigned

Jul 14, 2014

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jerome Cline Other name

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Home Health Home health agency, Chapmanville, WV, CCN 517134
• Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
• Tug Valley Arh Regional Medical Center Hospital, South Williamson, KY, CCN 180069

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sidney.cline.1@6401.direct.athenahealth.com

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.

• Lincoln County Primary Care Center Inc

  dba Southern West Virginia Health System-Madison Medical

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1720586472
  Medicare reassignment NPD
• Lincoln County Primary Care Center, Inc.

  dba Southern West Virginia Health System-

  • Federally Qualified Health Center (FQHC)
  • South Charleston, WV
  • NPI 1457610594
  Medicare reassignment NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hamlin, WV
  • NPI 1942274543
  Medicare reassignment NPD
• Lincoln County Primary Care Center, Inc

  dba Southern West Virgina Health System-Logan

  • Federally Qualified Health Center (FQHC)
  • Logan, WV
  • NPI 1023331220
  NPD
• Lincoln County Primary Care Center, Inc

  dba LCHS Panther Center for Health

  • Federally Qualified Health Center (FQHC)
  • Hamlin, WV
  • NPI 1962583054
  NPD
• Lincoln County Primary Care Center, Inc.

  dba Southern West Virginia Health System-Delbarton

  • Federally Qualified Health Center (FQHC)
  • Delbarton, WV
  • NPI 1033490149
  NPD
• Lincoln County Primary Care Center, Inc.

  dba Guyan Valley Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Branchland, WV
  • NPI 1255521027
  NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Man, WV
  • NPI 1689997678
  NPD
• Lincoln County Primary Care Center, Inc.

  dba Southern West Virignia Health System-Gilbert

  • Federally Qualified Health Center (FQHC)
  • Gilbert, WV
  • NPI 1942523931
  NPD
• Madison Medical, PLLC

  • Primary Care Clinic/Center
  • Madison, WV
  • NPI 1629035449
  NPD
• Lincoln County Primary Care Center, Inc

  dba Pioneer Health Center

  • Federally Qualified Health Center (FQHC)
  • Man, WV
  • NPI 1447619416
  NPD (past)

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

• Dignity Hospice of Southern West Virginia, Inc.

  • Community Based Hospice Care Agency
  • Chapmanville, WV
  • NPI 1992846307

  Home health agency

  Care Compare affiliation
• Logan General Hospital LLC

  dba Logan Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Logan, WV
  • NPI 1295789675
  Care Compare affiliation
• Logan General Hospital LLC

  dba Logan Regional Medical Center

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Tug Valley ARH Regional Medical Center

  • General Acute Care Hospital
  • South Williamson, KY
  • NPI 1649270257
  Care Compare affiliation

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1255748166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NICK SAVAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013468",
            "telephone_number": "304-752-8081",
            "fax_number": "304-752-8083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 E 2nd Ave",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613602",
            "country_code": "US",
            "telephone_number": "304-236-5902",
            "fax_number": "304-235-4049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "SIDNEY",
        "middle_name": "JEROME",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN75819NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN75819NP",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEROME",
            "last_name": "CLINE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Shawn Cheek
• Sherry Church
• Jodi M Cisco-Goff, MD
• Skyler Reed Clemons
• Bethony Jill Click, M.ED.
• Tabatha Cline
• Martin L. Codispoti, FNP-BC
• Marcus Steven Coleman
• Wendy Coleman
• Heather Villa Colley, RN, BSN

• Family Nurse Practitioner in Logan, WV
• Providers in Logan, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
• 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.