Individual provider Active NPI

Jessica Eileen Stolz, RN,MSN,C-FNP

  • Family Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1003093790
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
WV57200 Issued in WV
Practice address
400 Matthew St Ste 302
Marietta, OH 45750
Phone
(740) 568-5207
Fax
(740) 568-5297
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57200 WV
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X WV57200 WV Primary
Family Nurse Practitioner 363LF0000X 09837 OH

Addresses

Primary practice location

400 Matthew St Ste 302
Marietta, OH 45750

Mailing address

400 Matthew St Ste 302
Marietta, OH 45750-1656
Phone (740) 568-5207

Other practice location 1

1000 Mon Health Medical Park Dr Ste 1102
Morgantown, WV 26505-1143
Phone (304) 598-2801

Other practice location 2

807 Farson St Ste 204A
Belpre, OH 45714-1069
Phone (740) 568-5207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111215000459 OH Practitioner - Nurse Practitioner 0244405553 Reassigns benefits to 1 organization
I20150401000607 WV Practitioner - Nurse Practitioner 0244405553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Health Care Clinic PCGroup PAC ID 0749265353, 4 clinicians

Practice addresses (Care Compare)

1307 Lafayette Ave
Moundsville, WV 26041-2316
Phone (304) 845-2500

Hospital & facility affiliations

  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

Merit-based Incentive Payment System (MIPS)

Final score
67.92 of 100Reported as group
Quality
68.51
Promoting interoperability
100
Improvement activities
0
Cost
74.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
09837OHMDFamily Nurse Practitioner
57200WVMDFamily Nurse Practitioner
WV57200WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Wood Health Care Clinic Lab Current Accepting new patients
Wood Health Care Clinic PC Single Specialty CurrentSince Jan 27, 2022 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

1307 Lafayette Ave
Moundsville, WV 26041
Phone (304) 845-2500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1003093790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 302",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-568-5207",
            "fax_number": "740-568-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 302",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-568-5207",
            "fax_number": "740-568-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1102",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051143",
            "country_code": "US",
            "telephone_number": "304-598-2801",
            "fax_number": "304-599-6463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 Farson St Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141069",
            "country_code": "US",
            "telephone_number": "740-568-5207",
            "fax_number": "740-423-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLZ",
        "first_name": "JESSICA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "RN,MSN,C-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "57200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "WV57200",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "09837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.