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

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Clydena Jean Broughton, FNP - C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Charleston, West Virginia. She graduated from nursing school in 2010 and has 14 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 300 Maccorkle Ave Se 5th Floor, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 388-1000.

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
300 Maccorkle Ave Se 5th Floor,
Charleston, WV 25304
(304) 388-1000
Not Available

Map and Direction




Provider's Profile

Full NameClydena Jean Broughton
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location300 Maccorkle Ave Se 5th Floor, Charleston, 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: 02/20/2024
  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 0024183957 (Virginia)Secondary
363LF0000XNurse Practitioner - Family APRN62736-NP-C (West Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 62736 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Charleston Area Medical CenterCharleston, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Area Medical Center Inc3375441637675

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 NameIntegrated Health Care Providers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225057185
PECOS PAC ID: 6204733520
Enrollment ID: O20031216000069
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
300 Maccorkle Ave Se 5th Floor,
Charleston, WV 25304

Ph: (304) 388-1000

Reviews and Comments


Nurse Practitioner Nurses in Charleston, WV

Stephanie Lynn Legg, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304
Phone: 681-205-8610    Fax: 681-205-8615
Ms. Brenda Lou Keefer, ANP
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Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-925-3436    
Brenda Moody Walker, RN,MSN,CFNP
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Medicare: Medicare Enrolled
Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-925-0392    Fax: 304-825-0392
Janice K Kaufman, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304
Phone: 304-342-1184    Fax: 304-343-8487
Mrs. Cari Stover, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-205-6123    
Mrs. Carolyn Sue Green, APRN FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 510 Washington St W, Charleston, WV 25302
Phone: 304-344-9834    Fax: 304-344-1756
Shawnna D. Walker, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Outpatient Care Center (rwp), Charleston, WV 25304
Phone: 304-388-9677    Fax: 304-388-8238

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.