Individual provider Active NPI

Katarina W Clingerman, PA-C

  • Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1821748872
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2958 Issued in WV
Practice address
120 Campus Dr Ste 211
Martinsburg, WV 25404-7561
Phone
(681) 247-1260
Fax
(681) 247-1260
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2958 WV Primary

Addresses

Primary practice location

120 Campus Dr Ste 211
Martinsburg, WV 25404-7561

Mailing address

220 Campus Blvd Ste 210
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

245 S Washington St
Berkeley Springs, WV 25411-1418
Phone (304) 262-4525

Other practice location 2

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Other identifiers 2

IdentifierTypeStateIssuer
1180898OtherNCCPA
2610OtherWVWV BOARD OF MEDICINE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kclingerman766954@ValleyHealth.direct-ci.com
Direct Messaging Address kclingerman766954@ValleyHealth.direct-ci.com

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
I20231009001500 WV Practitioner - Physician Assistant 5193170322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Mountain Health Physicians IncGroup PAC ID 9133405327, 90 clinicians

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

120 Campus Dr
Martinsburg, WV 25404-7552

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2610WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. CurrentSince Nov 13, 2023 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
East Mountain Health Physicians Inc. Past Accepting new patients

Locations

220 Campus Blvd
Ste 210
Winchester, VA 22601

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

120 Campus Dr
Ste 211
Martinsburg, WV 25404
Phone (681) 247-1260

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: kclingerman766954@valleyhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1821748872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAMPUS DR STE 211",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047561",
            "telephone_number": "681-247-1260",
            "fax_number": "681-247-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Berkeley Springs",
            "state": "WV",
            "postal_code": "254111418",
            "country_code": "US",
            "telephone_number": "304-262-4525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Marcley Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012977",
            "country_code": "US",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINGERMAN",
        "first_name": "KATARINA",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1180898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF MEDICINE",
            "identifier": "2610",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kclingerman766954@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "120 Campus Dr Ste 211",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kclingerman766954@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.