Individual provider Active NPI

Patsy Eugenie Stoots, FNP-BC

  • Acute Care Nurse Practitioner
  • Logan, WV
National Provider Identifier
1134715642
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
107983 Issued in WV
Practice address
20 Hospital Dr
Logan, WV 25601-3452
Phone
(304) 831-1101
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 107983 WV
Acute Care Nurse Practitioner 363LA2100X 107983 WV Primary

Addresses

Primary practice location

20 Hospital Dr
Logan, WV 25601-3452

Mailing address

171 Snuffer BR
Beckley, WV 25801-9165
Phone (304) 237-4919

Other names 1

  • Patsy Eugenie Ashcraft Former name

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
I20210517001582 WV Practitioner - Nurse Practitioner 9931518255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Alliance, Inc.Group PAC ID 5799689105, 9 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
107983WVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Oct 29, 2024 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Oct 29, 2024 Accepting new patients
Cherokee Emergency Services, Inc. Nurse Practitioner CurrentSince Mar 20, 2021 Accepting new patients
Health Care Alliance, Inc. CurrentSince Mar 26, 2021 Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Organizations & group practices 4

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1134715642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SNUFFER BR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019165",
            "telephone_number": "304-237-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013452",
            "telephone_number": "304-831-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOTS",
        "first_name": "PATSY",
        "middle_name": "EUGENIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "107983",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "107983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATSY",
            "last_name": "ASHCRAFT",
            "middle_name": "EUGENIE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.