Individual provider Active NPI

Mercedes Clements Weikle, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Gay, WV
National Provider Identifier
1669887147
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN48768 Issued in WV
Practice address
71 Wayne St
Fort Gay, WV 25514-8518
Phone
(304) 648-5544
NPI assigned
Jun 24, 2014
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN48768-FNP-BC WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN48768 WV Primary

Addresses

Primary practice location

71 Wayne St
Fort Gay, WV 25514-8518

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5151

Other practice location 1

220 Johns Creek Rd
Milton, WV 25541-7079
Phone (304) 743-1407

Other practice location 2

1 Harbour Way
Milton, WV 25541-1545
Phone (304) 781-5050

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
I20140905000223 WV Practitioner - Nurse Practitioner 6608094503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
JC Edwards School of Medicine, Marshall University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

1 Harbour Way
Milton, WV 25541-1545
Phone (304) 781-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN48768-FNP-BCWVMDFamily Nurse Practitioner
APRN48768WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family CurrentSince Nov 11, 2024 Accepting new patients
Valley Health Systems Inc Family Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients

Locations

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

1 Harbour Way
Milton, WV 25541
Phone (304) 743-1407

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1669887147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-781-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WAYNE ST",
            "city": "FORT GAY",
            "state": "WV",
            "postal_code": "255148518",
            "telephone_number": "304-648-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Johns Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WV",
            "postal_code": "255417079",
            "country_code": "US",
            "telephone_number": "304-743-1407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Harbour Way",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WV",
            "postal_code": "255411545",
            "country_code": "US",
            "telephone_number": "304-781-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIKLE",
        "first_name": "MERCEDES",
        "middle_name": "CLEMENTS",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN48768-FNP-BC",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN48768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gay, WV

Sources for this page

Verify at the official NPI Registry.