Madison Wiedebusch

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

700 Oakmound Rd
Clarksburg, WV 26301-9398

Phone

(304) 623-6330

NPI assigned

Apr 8, 2024

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

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
• United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madison.wiedebusch.1@4803.direct.athenahealth.com

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.

• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1063808418
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1073944658
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1619348844
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1619464369
  Medicare reassignment NPD
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Slatyfork, WV
  • NPI 1215741665
  NPD
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dunmore, WV
  • NPI 1043567456
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1053821363
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1104175058
  NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050
  NPD
• Community Care of West Virginia, Inc.

  • Community/Behavioral Health Agency
  • Bridgeport, WV
  • NPI 1144811290
  NPD

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

• St Josephs Hospital of Buckhannon Inc

  • Critical Access Hospital
  • Buckhannon, WV
  • NPI 1124005061
  Care Compare affiliation
• United Hospital Center, Inc

  • General Acute Care Hospital
  • Bridgeport, WV
  • NPI 1184606600
  Care Compare affiliation

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1962255463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019398",
            "telephone_number": "304-623-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEBUSCH",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Whitehair, FNP
• Crislynn Norelle Whitehair
• Hailee Whitehair
• Paul Whitehair
• Tiffany M Whittekind
• Laura K. Wiilson, M.A.
• Amanda Wilfong, PHARM. D.
• Bettie Marie Abigayle Wilfong, MSW LGSW
• Rachel Wilgenhof, MS CCC-SLP
• Ashley Nicole Wilhelm, PHARM.D.

• Physician Assistant in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.