Active NPI
Jessica Eileen Stolz, RN,MSN,C-FNP
- Family Nurse Practitioner
- Marietta, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- WV57200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 57200 | WV | |
| Family Nurse Practitioner | 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
1307 Lafayette Ave
Moundsville, WV 26041-2316
Phone (304) 845-2500
Hospital & facility affiliations
- Reynolds Memorial Hospital, Inc
- Wetzel County Hospital
- Wheeling Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.92 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 09837 | OH | MD | Family Nurse Practitioner |
| 57200 | WV | MD | Family Nurse Practitioner |
| WV57200 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Single Specialty | Current | Accepting new patients |
| Wood Health Care Clinic Lab | Current | Accepting new patients | |
| Wood Health Care Clinic PC | Single Specialty | Current | Accepting new patients |
| Ohio Valley Physicians Inc | Current | 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.
-
- Internal Medicine Physician
- Moundsvillle, WV
- NPI 1386711554
Single Specialty
-
- Family Medicine Physician
- Huntington, WV
- NPI 1962433177
OH, Single Specialty
-
- Internal Medicine Physician
- Glen Dale, WV
- NPI 1285183343
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
-
- Clinical Medical Laboratory
- Moundsville, WV
- NPI 1275924441
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
-
- Rural Acute Care Hospital
- New Martinsville, WV
- NPI 1376175240
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.