Individual provider Active NPI

Jacinda Nicole Farnsworth

  • Family Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1083414957
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106408 Issued in WV
Practice address
3997 Beckley Rd
Princeton, WV 24740-7660
Phone
(304) 431-5499
NPI assigned
Mar 18, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106408 WV Primary
Registered Nurse 163W00000X 106408 WV

Addresses

Primary practice location

3997 Beckley Rd
Princeton, WV 24740-7660

Mailing address

3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260204003499 WV Practitioner - Nurse Practitioner 8527547181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

106 Thorn St
Princeton, WV 24740-3560
Phone (681) 282-5609

154 Majestic PL
Bluefield, WV 24701-9170
Phone (304) 409-6720

324 Oakvale Rd
Suite 12
Princeton, WV 24740-3829
Phone (681) 282-5576

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
106408WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. CurrentSince Sep 11, 2025 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Sep 11, 2025 Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients

Locations

154 Majestic Pl
Bluefield, WV 24701
Phone (304) 409-6720

701 Bland St
Bluefield, WV 24701
Phone (304) 800-5413

106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501

3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1083414957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "JACINDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106408",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "106408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.