Amy D Clevenger, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79517 Issued in WV

Practice address

812 Gorman Ave
Elkins, WV 26241-3181

Phone

(304) 636-3300

Fax

(304) 637-3441

NPI assigned

Jun 3, 2022

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Davis Medical Center Hospital, Elkins, WV, CCN 510030
• Vandalia Health Broaddus Hospital Hospital, Philippi, WV, CCN 511300
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clevenger.amy.p1@direct.davismedicalcenter.nextgenshare.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.

• Davis Memorial Hospital

  dba Davis Medical Center

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment Care Compare group NPD
• Webster Memorial Hospital, Inc.

  • Critical Access Hospital
  • Webster Springs, WV
  • NPI 1679241152
  Medicare reassignment NPD
• Davis Memorial Hospital

  dba Health Center Pharmacy

  • Community/Retail Pharmacy
  • Elkins, WV
  • NPI 1700663226
  NPD
• Central WV Medcorp, Inc.

  dba Buckhannon Medical Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Buckhannon, WV
  • NPI 1275558017
  NPD (past)

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

• Broaddus Hospital Association, Inc.

  • Critical Access Hospital
  • Philippi, WV
  • NPI 1548246622
  Care Compare affiliation
• Davis Memorial Hospital

  dba Davis Medical Center

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1609515972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300",
            "fax_number": "304-637-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300",
            "fax_number": "304-637-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Beverly Pike",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262419205",
            "country_code": "US",
            "telephone_number": "304-636-4585",
            "fax_number": "304-637-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WV",
            "license": "79517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "79517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clevenger.amy@davishealthsystem.org",
            "affiliation": "N",
            "address_1": "812 Gorman Ave",
            "city": "Elkins",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262413181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Skylar Elizabeth Shanafelt Claypool
• Clear Creek Counseling PLLC
• Hannah P Clelland
• Brandon Clem
• Lindsay Nicole Clevenger BSW, BSW
• Darrell Cline
• Thomas E Clough Jr., M.D.
• Richard Clovis
• Virginia Clovis
• Tammy Clutter

• Family Nurse Practitioner in Elkins, WV
• Providers in Elkins, 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 Apr 11, 2024; 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.