Individual provider Active NPI

Jessica Board, NP

  • Family Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1164970919
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019648 Issued in OH
Practice address
400 Matthew St Ste 401
Marietta, OH 45750-1656
Phone
(740) 374-2252
Fax
(740) 374-4974
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019648 OH Primary

Addresses

Primary practice location

400 Matthew St Ste 401
Marietta, OH 45750-1656

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 568-4814

Other practice location 1

807 Farson St Ste 230
Belpre, OH 45714-1068
Phone (740) 423-3223

Other practice location 2

418 Grand Park Dr Ste 321
Parkersburg, WV 26105-4000
Phone (304) 865-5185

Other identifiers 1

IdentifierTypeStateIssuer
0189541MedicaidOH

Other names 1

  • Jessica Starling Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jessica.starling@mmhs.medicity.net
Direct Messaging Address jessica.starling@mmhs.medicity.net
Direct Messaging Address jboard309836@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20211021001204 WV Practitioner - Nurse Practitioner 0941588495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

418 Grand Park Dr
Suite 321
Parkersburg, WV 26105-4000
Phone (304) 865-5190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019648OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Dec 1, 2021 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

418 Grand Park Dr
Ste 321
Parkersburg, WV 26105
Phone (304) 865-5185

800 Ann St
Parkersburg, WV 26101
Phone (304) 865-5530

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Organizations & group practices 2

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 3

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1164970919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-568-4814",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 401",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-374-2252",
            "fax_number": "740-374-4974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Farson St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141068",
            "country_code": "US",
            "telephone_number": "740-423-3223",
            "fax_number": "740-401-0437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 Grand Park Dr Ste 321",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261054000",
            "country_code": "US",
            "telephone_number": "304-865-5185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOARD",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189541",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.starling@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St",
            "address_2": "Suite 401",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.starling@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 230",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboard309836@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "418 Grand Park Dr",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261054000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STARLING",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.