Heath Clevinger, FNP
Individual provider Active NPI Nurse Practitioner · Cedar Bluff, VA
NPI 1639636772 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1639636772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024177296 (WV)
- Practice address
- 5260 Mountain Rd
Cedar Bluff, VA 24609-8225 - Phone
- (276) 971-5072
- NPI assigned
- Feb 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLC
Practice addresses (Care Compare)
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 625-8820
Hospital & facility affiliations
- Logan Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190605001193 | WV | Practitioner - Nurse Practitioner | 8921331067 | Reassigns benefits to 3 organizations |
| I20220527001305 | VA | Practitioner - Nurse Practitioner | 8921331067 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177296 | WV | MD | Nurse Practitioner |
| 00241177296 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Professional Physician Services LLC | Current |
Accepting new patients | |
| Princeton Community Hospital Assn., Inc. | Current |
Accepting new patients | |
| Cherokee Emergency Services, Inc. | Family Medicine | Current |
Accepting new patients |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Current |
Accepting new patients |
| Health Care Alliance, Inc. | Current |
Accepting new patients | |
| Emergency Coverage Services, PC | Nurse Practitioner | Current |
Accepting new patients |
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Clinch Professional Physician Services LLC | Family Medicine | Current |
Accepting new patients |
| Princeton Community Hospital Assn., Inc | Current |
Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 325-0461
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551
500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- hclevinger281835@direct.wvuhsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024177296 | WV | Yes |
| Family Medicine Physician | 207Q00000X | 0024177296 | VA | |
| Family Nurse Practitioner | 363LF0000X | 00241177296 | VA |
Addresses
Primary practice location
5260 Mountain Rd
Cedar Bluff, VA 24609-8225
Mailing address
5260 Mountain Rd
Cedar Bluff, VA 24609-8225
Phone (276) 971-5072
Other providers in Cedar Bluff, VA
- Donna Callis
- Cynthia Carty
- Crystal Chafin
- Bell A Charles
- Claypool Hill Physical Therapy
- Tiffany Clevinger
- Clinch Professional Physician Services LLC
- Clinch Valley Physicians Associates LLC
- Clinch Valley Treatment Center
- Clinch Valley Treatment Center
All providers in Cedar Bluff, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.