Individual provider Active NPI

Caroline Clagett McLeod, DNP

  • Family Nurse Practitioner
  • Shepherdstown, WV
National Provider Identifier
1972074565
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
90792 Issued in WV
Practice address
207 S Princess St
Shepherdstown, WV 25443-1581
Phone
(304) 261-0313
Fax
(304) 924-2214
NPI assigned
Dec 8, 2018
Last updated
Dec 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 90792 WV Primary

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

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
I20190402000326 WV Practitioner - Nurse Practitioner 3274874243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 3779895818, 3 clinicians

Practice addresses (Care Compare)

207 S Princess St
Suite 12
Shepherdstown, WV 25443-1581
Phone (304) 261-0313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90792WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Ways Healthcare, PLLC CurrentSince Feb 6, 2019 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

  • Direct secure messaging: caroline.mcleod@347753799614468.direct.elationemr.com

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.

Hospital & facility affiliations 5

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": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1972074565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3296",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254433296",
            "telephone_number": "301-807-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S PRINCESS ST",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254431581",
            "telephone_number": "304-261-0313",
            "fax_number": "304-924-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "CAROLINE",
        "middle_name": "CLAGETT",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-08",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "90792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdstown, WV

Sources for this page

Verify at the official NPI Registry.