Clydena Jean Broughton, FNP - C - Medicare Nurse Practitioner in Nitro, WV

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Clydena Jean Broughton, FNP - C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Nitro, West Virginia. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Charleston Area Medical Center Inc and her current practice location is 4111 1st Ave Ste 3, Nitro, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 755-4797.

Clydena Jean Broughton is licensed to practice in West Virginia (license number 62736) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588979314.

Contact Information

Clydena Jean Broughton, FNP - C
4111 1st Ave Ste 3,
Nitro, WV 25143-1345
(304) 755-4797
(304) 755-4799

Map and Direction




Provider's Profile

Full NameClydena Jean Broughton
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location4111 1st Ave Ste 3, Nitro, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clydena Jean Broughton graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1588979314
  • Provider Enumeration Date: 08/17/2010
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698963940
  • Enrollment ID: I20101230000623

Medical Identifiers

Medical identifiers for Clydena Jean Broughton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588979314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN62736-NP-C (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024183957 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 62736 (West Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Area Medical Center Inc3375441637859

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clydena Jean Broughton allows following entities to bill medicare on her behalf.
Entity NameGreenbrier Emergency Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568401461
PECOS PAC ID: 2668377359
Enrollment ID: O20031205000043
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426
Entity NamePulmonary Associates Of Char Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114124799
PECOS PAC ID: 2860593399
Enrollment ID: O20070727000018
Entity NameEast Mountain Health Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114460797
PECOS PAC ID: 9133405327
Enrollment ID: O20170425001245

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clydena Jean Broughton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clydena Jean Broughton, FNP - C
140 Hickory Rd # 4,
Charleston, WV 25314-1824

Ph: (304) 752-1669		Clydena Jean Broughton, FNP - C
4111 1st Ave Ste 3,
Nitro, WV 25143-1345

Ph: (304) 755-4797

Reviews and Comments


Nurse Practitioner Nurses in Nitro, WV

Mrs. Anne Haley Phipps, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6a Bank St, Nitro, WV 25143
Phone: 304-306-3058    Fax: 304-306-3054
Sarah Jayne Cobb, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4111 1st Ave Ste 3, Nitro, WV 25143
Phone: 304-755-4797    Fax: 304-755-4799
Karlie Perkins,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4114 1st Ave, Nitro, WV 25143
Phone: 304-755-0119    
Mrs. Becky Ann Dempsey, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4111 1st Ave, Suite 3, Nitro, WV 25143
Phone: 304-755-4797    Fax: 304-755-4799
Mrs. Jennifer H Nunley, RN,MSN,FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4111 1st Ave Ste 3, Nitro, WV 25143
Phone: 304-755-4797    Fax: 304-755-4799
Crystal R. Holstein, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4111 1st Ave Ste 3, Nitro, WV 25143
Phone: 304-755-4797    Fax: 304-755-4799

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.