Individual provider Active NPI

Merena K Cline-Elliott

  • Case Management Agency
  • Ellenboro, WV
National Provider Identifier
1699592998
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2467-2074 Issued in WV
Practice address
100 School St. BLDG B
Ellenboro, WV 26346
Phone
(681) 528-9127
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2467-2074 WV Primary

Addresses

Primary practice location

100 School St. BLDG B
Ellenboro, WV 26346

Mailing address

PO Box 93
Ellenboro, WV 26346-0093
Phone (681) 528-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2467-2074WVMDCase Management Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Futures Case Management LLC Case Management CurrentSince Dec 15, 2024 Accepting new patients
Bright Futures Case Management LLC Case Management CurrentSince Nov 10, 2024 Accepting new patients

Organizations & group practices 2

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1699592998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "ELLENBORO",
            "state": "WV",
            "postal_code": "263460093",
            "telephone_number": "681-528-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHOOL ST. BLDG B",
            "city": "ELLENBORO",
            "state": "WV",
            "postal_code": "26346",
            "telephone_number": "681-528-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE-ELLIOTT",
        "first_name": "MERENA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "2467-2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenboro, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.