Maggie King Clendenen, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN71119-AGPCNP-BC Issued in WV

Practice address

158 Hinton Bypass
Three Rivers Clinic
Hinton, WV 25951

Phone

(304) 309-4143

Fax

(304) 309-4146

NPI assigned

Nov 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maggie King Mankins Former name

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maggie.clendenen@trcl-wv.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Three Rivers Clinic, LLC

  • Health Service Clinic/Center
  • Hinton, WV
  • NPI 1023612504

  WV

  Medicare reassignment NPD
• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1659840486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THREE RIVERS CLINIC",
            "address_2": "158 HINTON BYPASS",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "25951",
            "telephone_number": "304-309-4143",
            "fax_number": "304-309-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HINTON BYPASS",
            "address_2": "THREE RIVERS CLINIC",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "25951",
            "telephone_number": "304-309-4143",
            "fax_number": "304-309-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENEN",
        "first_name": "MAGGIE",
        "middle_name": "KING",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-22",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "APRN71119-AGPCNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "MANKINS",
            "middle_name": "KING",
            "prefix": "MS.",
            "credential": "RN/NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Kay Carmichael
• Christy Dawn Carr
• Gilbert O Catron, LAT, ATC, CSP, EMTP
• Chasity Dawn Champ
• Christy Kenna Fox, DDS, Inc.
• David Edward Cobb, PHARMD
• Meagan M. Cobb, D.O.
• Edith Marie Coffman
• Thomas Dean Coffman, RPH
• Linda Shirley Combs, MA, NCC

• All providers in Hinton, WV
• Gerontology Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.