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Active NPI 1285162693 Individual Practitioner Female Practitioner

Mary Elizabeth Wickline , PA-C

Physician Assistant • Lindside, WV

Professional Overview & Biography Verified Profile Summary

Mary Wickline, PA-C is a registered healthcare professional specializing in Physician Assistant in Lindside, WV. Practice services are available at 142 JAMES MONROE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

142 James Monroe Dr

Lindside, WV 249517168

Telephone 3047535940
Fax 3047535941
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lindside, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Lindside, WV (1163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

Po Box 590

Union, WV 249830590

Phone: 3047723064

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tanya Ware

Registered Nurse - School

NPI 1174236277

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 29, 2025

Registered at 142 JAMES MONROE DR, LINDSIDE, WV 249517168 (Tel: 3047535940)

NPI Profile Active May 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2017

Registered at RR 1 BOX 97, LINDSIDE, WV 249519612 (Tel: 3047535940)

📍
Updated Business Mailing Address May 30, 2017

Registered at PO BOX 590, UNION, WV 249830590 (Tel: 3047723064)

👤
Provider Name / Credentials Updated May 30, 2017

Recorded as MARY WICKLINE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 30, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285162693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2017
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

Po Box 590

Union, WV 249830590

Phone: 3047723064

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.