Individual provider Active NPI

Jamie Beth Carosi, PA

  • Medical Physician Assistant
  • Princeton, WV
National Provider Identifier
1043477987
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
432 Issued in WV
Practice address
403 12TH Street Ext
Princeton, WV 24740-2300
Phone
(304) 431-9998
Fax
(304) 425-0782
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 432 WV Primary

Addresses

Primary practice location

403 12TH Street Ext
Princeton, WV 24740-2300

Mailing address

PO Box 1030
Princeton, WV 24740-1030
Phone (304) 431-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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
I20080903000670 WV Practitioner - Physician Assistant 3072689785 Reassigns benefits to 2 organizations
I20110118000127 VA Practitioner - Physician Assistant 3072689785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer County Health DepartmentGroup PAC ID 4284675448, 3 clinicians

Practice addresses (Care Compare)

978 Blue Prince Rd
Bluefield, WV 24701-5074
Phone (304) 324-8367

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC CurrentSince Jul 15, 2011 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Oct 1, 2010 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Jul 15, 2011 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

106 Huffard Dr
Bluefield, VA 24605
Phone (276) 322-3427

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: jamie.carosi.1@14333.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: jcarosi@yourcarecommunity.org

Organizations & group practices 8

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 1

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1043477987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401030",
            "telephone_number": "304-431-9998",
            "fax_number": "304-425-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402300",
            "telephone_number": "304-431-9998",
            "fax_number": "304-425-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROSI",
        "first_name": "JAMIE",
        "middle_name": "BETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.