Active NPI
Katarina W Clingerman, PA-C
- Physician Assistant
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1180898 | Other | NCCPA | |
| 2610 | Other | WV | WV BOARD OF MEDICINE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Winchester Medical Center
- Berkeley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2610 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mountain Health Physicians Inc. | Current | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1114460797
-
- Family Medicine Physician
- Ranson, WV
- NPI 1598204273
-
- Orthopaedic Surgery Physician
- Martinsburg, WV
- NPI 1437885365
-
- Occupational Medicine Clinic/Center
- Ranson, WV
- NPI 1841711512
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.