Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Wiedebusch

Individual provider Physician Assistant · NPI 1962255463

Madison Wiedebusch is a Physician Assistant in Clarksburg, West Virginia. Qualified in 2024, 2 years ago. Practices with Community Care of West Virginia, Inc, a 87-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone: (304) 623-6330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962255463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESFebruary 9, 2025
Certification dateFebruary 9, 2025
Mailing address700 Oakmound Rd, Clarksburg, WV 26301-9398

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Community Care Of West Virginia, Inc. — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clarksburg