Jessica Ann Fitzwater, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

75755 Issued in WV

Practice address

186 Hospital Dr
Grantsville, WV 26147-7100

Phone

(304) 354-9244

Fax

(304) 354-9323

NPI assigned

Jan 7, 2014

Last updated

Feb 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Ann Campbell Former name

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnie Hamilton Health Care Center IncGroup PAC ID 2961311667, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minnie Hamilton Health System Hospital, Grantsville, WV, CCN 511303

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.fitzwater.1@14266.direct.athenahealth.com
• Direct secure messaging: jfitzwater322877@direct.wvuhsdirect.com

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.

• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  Medicare reassignment Care Compare group NPD
• Minnie Hamilton Health Care Center, Inc.

  dba Swing Bed - Medicare

  • Medicare Defined Swing Bed Hospital Unit
  • Grantsville, WV
  • NPI 1356459002
  NPD
• Minnie Hamilton Health Care Center Inc

  dba Minnie Hamilton Health Care Center

  • Institutional Pharmacy
  • Grantsville, WV
  • NPI 1548276181
  NPD (past)
• Minnie Hamilton Health Care Center, Inc.

  dba Ambulance - Medicaid

  • Ambulance
  • Grantsville, WV
  • NPI 1508974254
  NPD (past)
• Minnie Hamilton Health Care Center, Inc.

  dba Physicians Group - Medicaid

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1881702538
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  Care Compare affiliation
• Minnie Hamilton Health Care Center, Inc.

  dba Swing Bed - Medicare

  • Medicare Defined Swing Bed Hospital Unit
  • Grantsville, WV
  • NPI 1356459002
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1093137226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DR",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL DR",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261477100",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZWATER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "75755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "75755",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CAMPBELL",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John James D'Angelo Jr., M.D.
• James Eric Davison, PH.D.
• Dianne Dye
• Joshua Paul Farrell
• Myra Jade Farrell
• Linda Lou Fivecoait
• Amber Francis
• Pamela Jo Frederick
• James Michael Galloway, DPT
• Taylor S. Garret

• Family Nurse Practitioner in Grantsville, WV
• Providers in Grantsville, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.

Verify at the official NPI Registry.