Caroline Clagett McLeod, DNP
Individual provider Active NPI Family Nurse Practitioner · Shepherdstown, WV
NPI 1972074565 · NPPES record last updated Dec 8, 2018
Key facts
- NPI
- 1972074565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 90792 (WV)
- Practice address
- 207 S Princess St
Shepherdstown, WV 25443-1581 - Phone
- (304) 261-0313
- Fax
- (304) 924-2214
- NPI assigned
- Dec 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healing Ways Healthcare PLLC
Practice addresses (Care Compare)
207 S Princess St
Suite 12
Shepherdstown, WV 25443-1581
Phone (304) 261-0313
Hospital & facility affiliations
- Jefferson Medical Center
- Berkeley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190402000326 | WV | Practitioner - Nurse Practitioner | 3274874243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Ways Healthcare, PLLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
207 S Princess St
Ste 12
Shepherdstown, WV 25443
Phone (304) 261-0313
Interoperability endpoints
- caroline.mcleod@347753799614468.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 90792 | WV | Yes |
Addresses
Primary practice location
207 S Princess St
Shepherdstown, WV 25443-1581
Mailing address
PO Box 3296
Shepherdstown, WV 25443-3296
Phone (301) 807-6787
Other providers in Shepherdstown, WV
- Randolph Robert Macdonald
- Kristinia Maciunas
- Mildred Mason
- Florencia May
- Kendra McKinney
- Shannon Leigh Medaris
- Karen Loncher Mennett
- Michael Monsma LLC
- Tyler Jason Michael
- Lisa Miles
All providers in Shepherdstown, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.